bluuebunny/crossref_metadata_2025 huggingface dataset:
Cannabis Use Variations and Myocardial Infarction: A Systematic Review
Authors: van Amsterdam Jan , van den Brink Wim
Published: September 2024

Background: Cannabis use is associated with an increased risk of coronary heart disease (CHD), including angina pectoris (AP), and myocardial infarction (MI). However, it is not clear whether cannabis use is an independent risk factor of AP and/or MI, because cannabis is often smoked together with tobacco. We investigated whether cannabis is an independent risk factor of MI and whether this risk is similar in cannabis smokers, cannabis vapers, and those who use cannabis edibles. Methods: A systematic review was performed, according to the PRISMA guidelines and using Medline (PubMed), Embase, and Google Scholar as databases. Results: Twenty-two eligible papers were identified. After adjustment for concurrent tobacco use, cannabis smoking remained significantly associated with incidents of MI, with aORs ranging between 1.03 and 5.24, and particularly high aORs in the younger age group. In never-tobacco smokers, frequent cannabis smoking was also associated with a significant MI risk (aOR = 1.88). Frequent and current cannabis use in any form other than smoking (e.g., vaping, but mostly ingestion) was not associated with a significantly increased cardiovascular risk (frequent use: aOR = 1.00 ns; current use: aOR = 1.31 ns). Conclusions: Like tobacco smoking, cannabis smoking may independently provoke MI. Vaping and ingestion of cannabis might be less harmful, probably because absence of combustion prevents exposure to certain toxins in cannabis smoke, including carbon monoxide.
The Effect of Local Papaverine Use in an Experimental High-Risk Colonic Anastomosis Model: Reduced Inflammatory Findings and Less Necrosis
Authors: Ozdemir Dursun Burak , Karayigit Ahmet , Tekin Emel , Kocaturk Evin , Bal Cengiz , Ozer Ilter
Published: September 2024

Objectives: To assess the impact of topical papaverine administration in complete and incomplete colonic anastomosis, by examining bursting pressure, hydroxyproline concentration, collagen content, inflammation levels, inflammatory cell infiltration, neoangiogenesis, and necrosis grades. Methods: We performed an experimental study on rats, in which they were divided into the following 4 groups of 16 subjects each. Group 1 [complete anastomosis (CA) without papaverine (CA -P) group], Group 2 [CA with papaverine (CA +P) group], Group 3 [incomplete anastomosis (ICA) without papaverine (ICA -P) group], and Group 4 [ICA with papaverine (ICA +P) group]. Results: The lymphocyte infiltration score of the ICA +P3 (day 3) group was significantly higher compared to the ICA -P3 group (p = 0.018). The median Ehrlich–Hunt score (p = 0.012), inflammation score (p = 0.026), and neutrophil infiltration score (p = 0.041) of the CA +P7 (day 7) group were significantly lower than the corresponding data of the CA -P7 group. Additionally, the necrosis score of the ICA +P7 group was significantly lower than that of the ICA -P7 group (p = 0.014). Conclusions: Data from the current study reveal that, although topical papaverine seems to suppress inflammation in anastomosis tissue and reduce necrosis at 7 days, definite conclusions regarding its impact on anastomotic leak cannot be drawn without further studies investigating anastomotic wound healing and anastomotic leak, preferably with both shorter- and longer-term evaluations.
Association between Hip/Groin Pain and Hip ROM and Strength in Elite Female Soccer Players
Authors: Jaenada-Carrilero Eloy , Baraja-Vegas Luis , Blanco-Giménez Paula , Gallego-Estevez Raul , Bautista Iker J. , Vicente-Mampel Juan
Published: September 2024

Background/Objectives: Hip strength and range of motion have been compared in soccer players with and without hip and groin pain but only in male footballers or gender-combined samples. In female soccer players, the biomechanics contributing to this injury remain poorly understood compared to other sporting injuries. The aim of the present study is to investigate whether differences exist in adductor and abductor isometric test values and hip joint range of motion between elite female soccer players with longstanding groin pain and injury-free controls. Methods: Ten female elite soccer players with current longstanding hip and groin pain and twenty-five injury-free controls from the same teams were included in the study. Hip adductor and abductor isometric strength were evaluated with a hand-held dynamometer. A bent knee fall-out test was also utilized to examine the hip joint range of motion. Results: A significant difference in abductor isometric test values was observed between the control group (2.29 ± 0.53 N/Kg) and the hip and groin pain group (2.77 ± 0.48 N/Kg; p = 0.018). Furthermore, the injured group showed a decreased adductor/abductor ratio compared to the control group (1.00 ± 0.33 vs. 1.27 ± 0.26; p = 0.013). No differences were observed in the bent knee fall-out test (p = 0.285). Conclusions: Female elite soccer players with current longstanding hip and groin pain exhibited higher abductor isometric strength and lower adductor/abductor ratio compared to non-injured women players. There were no differences in the BKFO test between groups.
The Hedonic Experience Associated with a Gentle Touch Is Preserved in Women with Fibromyalgia
Authors: Tagini Sofia , Varallo Giorgia , Capodaglio Paolo , Mauro Alessandro , Scarpina Federica
Published: September 2024

Background/Objectives: Although manual therapies can be used for pain alleviation in fibromyalgia, there is no clear evidence about the processing of gentle, affective touch in this clinical condition. In fact, persistent painful sensations and psychological factors may impact the hedonic experience of touch. Methods: This observational cross-sectional study compared the subjective experience of affective touch between 14 women with fibromyalgia (age range: 35–70; range of years of education: 5–13) and 14 pain-free women (age range: 18–30; range of years of education: 13–19). The participants rated the pleasantness of slow and fast touches delivered by a brush, the experimenter’s hand, and a plastic stick. Tactile stimuli were either imagined or real to disentangle the contribution of top-down and bottom-up sensory components. Additionally, a self-report questionnaire explored the lifetime experiences of affective touch. Results: Akin to healthy counterparts, individuals with fibromyalgia rated slow touches delivered by the experimenter’s hand or a brush as more pleasant than fast touches, regardless of whether they were imagined or real. However, the intensity of pain affects only the imagined pleasantness in our participants with fibromyalgia. Furthermore, despite the fibromyalgia patients reporting fewer experiences of affective touch in childhood and adolescence, this evidence was not associated with the experimental outcomes. Conclusions: The hedonic experience of affective touch seems preserved in fibromyalgia despite poor intimate bodily contact in youth. We confirmed that bottom-up and top-down factors contribute to the affective touch perception in fibromyalgia: bodily pain may impact even more the expected pleasure than the actual experience. Future investigations may introduce neurophysiological measures of the implicit autonomic responses to affective touch in fibromyalgia. To conclude, although preliminary, our evidence may be in favor of manual therapies for pain relief in fibromyalgia.
Elevated Alanine Transaminase-to-Platelet Index (APRI) Is Associated with Obesity and Distinct Forms of Dyslipidemia: A Retrospective Cross-Sectional Study
Authors: Alshuweishi Yazeed , Alfayez Dalal , Almufarrih Abdulmalik A. , Abudawood Arwa , Alyami Hanan , Alshuweishi Faisal A. , Al-Sheikh Yazeed A. , Alfhili Mohammad A.
Published: September 2024

Background: Obesity is a pathological condition and a major risk factor for dyslipidemia, type 2 diabetes, and non-alcoholic fatty liver disease. Recent research highlighted the association of non-invasive serum markers with these conditions but the clinical utility of ALT APRI in obesity and its relationship with dyslipidemia remain unexplored. Methods: We examined the association of ALT APRI in 165 non-diabetic adults stratified by BMI and serum lipid parameters. Results: Obese subjects had significantly higher APRI than lean subjects, with an area under the curve (AUC) of 0.65 (p = 0.019). Medians of APRI were significantly increased in subjects with high TG, TG/HDL, TC/HDL, and LDL/HDL and low HDL. Notably, all lipid parameters and ratios were significantly elevated in the highest APRI tertile, compared with patients in the lowest tertile. APRI was weakly yet significantly correlated with BMI (R2 = 0.032, p = 0.022), HDL (R2 = 0.071), TG/HDL (R2 = 0.031), TC/HDL (R2 = 0.063), LDL/HDL (R2 = 0.072), and TyG index (R2 = 0.081). While APRI only showed a discriminating capacity for HDL (AUC: 0.69, p = 0.003), TG/HDL (AUC: 0.63, p = 0.020), LDL/HDL (AUC: 0.68, p < 0.001), and TyG index (AUC: 0.65, p = 0.037), the highest diagnostic performance of APRI was observed with TC/HDL (AUC: 0.74, p < 0.001). Additionally, APRI was a risk factor for high TG (OR: 1.6, p = 0.028), low HDL (OR: 2.7, p = 0.0002), high TG/HDL (OR: 1.94, p = 0.0011), high TC/HDL (OR: 2.3, p < 0.0001), high LDL/HDL (OR: 2.2, p = 0.0001), and high TyG index (OR: 2.1, p = 0.008). Conclusions: Our findings argue for the role of APRI as a potential marker for obesity and dyslipidemia, which requires further confirmation in longitudinal studies.
Flexible versus Rigid Bronchoscopy for Tracheobronchial Foreign Body Removal in Children: A Comparative Systematic Review and Meta-Analysis
Authors: Safia Alaa , Abd Elhadi Uday , Bader Rawnk , Khater Ashraf , Karam Marwan , Bishara Taiser , Massoud Saqr , Merchavy Shlomo , Farhat Raed
Published: September 2024

The removal of foreign bodies (FBs) from the airways of children is a critical procedure that can avert serious complications. While both flexible and rigid bronchoscopy techniques are employed for this purpose, their comparative efficacy and safety remain subjects of debate. Therefore, we conducted this investigation to compare between both procedures. Studies comparing flexible to rigid bronchoscopy (n = 14) were identified by searching PubMed, Scopus, Web of Science, Cochrane Library, and Google Scholar. We performed comparative meta-analyses of reported presentation characteristics and clinical outcomes, using fixed- and random-effects models. A diverse range of FB types and locations were identified. No difference was observed in the success rate of FB removal between flexible and rigid bronchoscopy (logOR = 0.27; 95%CI: −1.91:2.45). The rate of negative first bronchoscopy was higher in the flexible compared to the rigid group (logOR = 2.68; 95%CI: 1.68:3.67). Conversion rates to the alternative method were higher in the flexible bronchoscopy group. The overall complication rates were similar between both methods; however, the risk of desaturation was significantly lower with flexible bronchoscopy (logOR = −2.22; 95%CI: −3.36:−1.08). Flexible bronchoscopy was associated with a shorter length of hospital stay. The choice of bronchoscopy technique should be tailored to individual case characteristics.
Predictors of Transition from Child and Adolescent Bipolar Not Otherwise Specified to Bipolar I Disorder, a Longitudinal 3.9-Year Study
Authors: Ribeiro-Fernández María , Díez-Suárez Azucena , Chang Kiki D. , Soutullo Cesar A.
Published: September 2024

Background: Children and adolescents with subthreshold manic symptoms not meeting full DSM criteria for bipolar I or II disorder (BP-I or BP-II) are classified as unspecified bipolar disorder (formerly bipolar not otherwise specified: BP-NOS). Factors associated with transition from BP-II or NOS to BP-I may predict the progression of the disorder. Our objective is to analyze factors associated with transition to BP-I in a Spanish sample of youth with BP-NOS or BP-II. Methods: We included all youth diagnosed with BP before 18 years of age presenting to our clinic (October 1999–December 2014). We assessed clinical factors that may predict transition to BP I with a logistic regression and a multivariable model for data analysis. Results: A total of 72 patients with BP, mean (SD) age 14.5 (10.5–16.0) years, were followed for a median period of 3.9 years. In total, 95.8% of patients retained the BP diagnosis, but they changed type. Baseline BP-I % was 37.5%, and 62.5% at endpoint. BP-NOS decreased from baseline 54.2% to 25% at endpoint. The % of BP-II was 8.3% in both time points, but they were not the same individual patients, as some transitioned from BP-II to BP-I and some BP-NOS changed to BP-II. BP-NOS was stable in 46.1% of patients, but 38.5% transitioned to BP-I over time. Psychotic symptoms during prior depressive episodes (MDD) increased the risk of transition to BP-I by 11-fold. Each individual symptom of mania increased the risk of transition to BP-I by 1.41. Conclusions: BP-NOS was stable in 46.1% of patients, but 38.5% transitioned to BP-I over time. Psychotic symptoms during prior MDD episodes increased the risk of transition from BP-NOS to BP-I.
Prevalence and Risk Factors of Inappropriate Drug Dosing among Older Adults with Dementia or Cognitive Impairment and Renal Impairment: A Systematic Review
Authors: Alhumaid Saad , Bezabhe Woldesellassie M. , Williams Mackenzie , Peterson Gregory M.
Published: September 2024

Background: Potentially inappropriate medication prescribing is prevalent and well studied in older adults. However, limited data are available on inappropriate drug dosing in those with dementia or cognitive impairment and renal impairment. Objectives: We aimed to examine the prevalence of, and factors associated with, inappropriate drug dosing in older patients with dementia or cognitive impairment and renal impairment. Methods: We adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline and the Cochrane Handbook for Systematic Reviews of Interventions. We searched Medline, Embase, CINAHL, and PubMed for studies on inappropriate drug dosing in older patients with dementia or cognitive impairment and renal impairment, published from 1 January 2000 to 31 August 2024, with English language restriction following the PICOS search strategy. Two reviewers independently screened all titles and abstracts, extracted data from included studies, and undertook quality assessment using the Joanna Briggs Institute (JBI) tool. Descriptive statistics were used to summarise and present findings. Results: In total, eight retrospective cohort studies were included. Of the total number of patients with dementia who had renal impairment (n = 5250), there were 2695 patients (51.3%; range: 0–60%) who had inappropriate drug dosing. Drugs commonly prescribed in inappropriate doses in patients with dementia who had renal impairment included memantine, baclofen, nonsteroidal anti-inflammatory drugs (NSAIDs), metformin, digoxin, morphine, and allopurinol. The studies did not identify statistically significant risk factors for inappropriate drug dosing. Conclusions: Inappropriate drug dosing among older adults with dementia or cognitive impairment and renal impairment appears to occur frequently. While our findings should be interpreted with caution owing to the small number of studies and substantial heterogeneity, proactive prevention, recognition, and management of inappropriate drug dosing in this population is warranted.
Retinal Microvasculature Changes Linked to Executive Function Impairment after COVID-19
Authors: Ariza Mar , Delas Barbara , Rodriguez Beatriz , De Frutos Beatriz , Cano Neus , Segura Bàrbara , Barrué Cristian , Bejar Javier , Asaad Mouafk , Cortés Claudio Ulises , Junqué Carme , Garolera Maite ,   NAUTILUS Project Collaborative Group
Published: September 2024

Background/Objectives: Studies using optical coherence tomography angiography (OCTA) have revealed that individuals recovering from COVID-19 have a reduced retinal vascular density (VD) and larger foveal avascular zones (FAZs) than healthy individuals, with more severe cases showing greater reductions. We aimed to examine aspects of the retinal microvascularization in patients with post-COVID-19 condition (PCC) classified by COVID-19 severity and how these aspects relate to cognitive performance. Methods: This observational cross-sectional study included 104 PCC participants from the NAUTILUS Project, divided into severe (n = 59) and mild (n = 45) COVID-19 groups. Participants underwent cognitive assessments and OCTA to measure VD and perfusion density (PD) in the superficial capillary plexus (SVP) and FAZ. Analysis of covariance and partial Pearson and Spearman correlations were used to study intergroup differences and the relationships between cognitive and OCTA variables. Results: Severe PCC participants had significantly lower central (p = 0.03) and total (p = 0.03) VD, lower central (p = 0.02) PD measurements, and larger FAZ areas (p = 0.02) and perimeters (p = 0.02) than mild cases. Severe cases showed more cognitive impairment, particularly in speed processing (p = 0.003) and executive functions (p = 0.03). Lower central VD, lower central PD, and larger FAZ areas and perimeters were associated with worse executive function performance in the entire PCC sample and in the mild COVID-19 group. Conclusions: Retinal microvascular alterations, characterized by reduced VD and PD in the SVP and larger FAZ areas, were associated with cognitive impairments in PCC individuals. These findings suggest that severe COVID-19 leads to long-lasting microvascular damage, impacting retinal and cognitive health.
Near Add Power of Glaucoma Patients with Early Presbyopia
Authors: Ayaki Masahiko , Ichikawa Kazuo
Published: September 2024

Purpose: Glaucoma medication may accelerate the progression of presbyopia. The aim of this study was to compare presbyopia between controls and patients with glaucoma in their 40s. Methods: This was a cross-sectional study of bilateral phakic participants aged between 40 and 49, which included controls (n = 114, mean age 46.1 ± 2.7 y) and patients with primary open-angle glaucoma (n = 105, 46.4 ± 2.7 y) who had been using FP receptor agonists, beta blockers, and carbonic anhydrase inhibitors for at least six months. We compared the near add power between the two groups. Results: The mean near add power and the prevalence of symptomatic presbyopia (near add power ≥ 1.50 D) were 1.16 ± 0.74 D and 42.1% for controls and 1.77 ± 0.71 D (p < 0.01) and 79.0% (p < 0.01) for glaucoma patients, respectively. The odds ratio (OR) and confidence interval for symptomatic presbyopia were associated with age (1.36, 1.21–1.52), ganglion cell complex thickness (0.96, 0.94–0.99), presence of glaucoma (6.19, 3.13–12.23), and number of glaucoma medications (4.26, 2.42–7.43). Among medications, only FP receptor agonists (5.79, 2.68–12.32) produced significant results. Survival analysis showed that glaucoma patients reached the threshold of a near add power of +1.50 D significantly sooner than controls (p < 0.05; log-rank test). Conclusions: Glaucoma patients, especially those using FP receptor agonists, had higher near add power than controls.
Microscopic Colitis: An Underestimated Disease of Growing Importance
Authors: Rutkowski Kamil , Udrycka Karina , Włodarczyk Barbara , Małecka-Wojciesko Ewa
Published: September 2024

The aim of this paper is to raise awareness of MC as a clinically significant condition and to highlight its under-recognition, risk factors, diagnosis, management, and complications. This paper underlines the diagnostic and therapeutic challenges associated with the often nonspecific symptoms of MC. In order to create this article, we reviewed available articles found in the PubMed database and searched for articles using the Google Scholar platform. Microscopic colitis (MC) is a chronic inflammatory bowel disease, classified into three types: lymphocytic, collagenous, and unspecified. The average age of onset of MC is around 62–65 years and the disease is more common in women than men (nine times more common). The main symptom of MC is watery diarrhoea without blood, other symptoms include defecatory urgency, faecal incontinence, abdominal pain, nocturnal bowel movements, and weight loss. Once considered a rare disease, MC is now being diagnosed with increasing frequency, but diagnosis remains difficult. To date, a number of causative factors for MC have been identified, including smoking, alcohol consumption, medications (including NSAIDs, PPIs, SSRIs, and ICPIs), genetic factors, autoimmune diseases, bile acid malabsorption, obesity, appendicitis, and intestinal dysbiosis. It may be difficult to recognize and should be differentiated from inflammatory bowel diseases (Crohn’s disease and ulcerative colitis), irritable bowel syndrome (IBS), coeliac disease, infectious bowel disease, and others. Diagnosis involves biopsy at colonoscopy and histopathological evaluation of the samples. Treatment consists of budesonide oral (the gold standard) or enema. Alternatives include bile acid sequestrants (cholestyramine, colesevelam, and colestipol), biologics (infliximab, adalimumab, and vedolizumab), thiopurines, methotrexate, and rarely, surgery.
Nanostructured C@CuS Core–Shell Framework with High Lithium-Ion Storage Performance
Authors: Jin Changqing , Peng Zaidong , Wei Yongxing , Nan Ruihua , Yang Zhong , Jian Zengyun , Ding Qingping
Published: September 2024

In this study, we have synthesized a nanostructured core–shell framework of carbon-coated copper sulfide (C@CuS) through a one-step precipitation technique. The carbon sphere template facilitated the nucleation of CuS nanostructures. The synthesized nanocomposites have demonstrated remarkable lithium-ion storage capabilities when utilized as an anode in lithium-ion batteries. Notably, they exhibit an impressive rate capability of 314 mAh g−1 at a high current density of 5000 mA g−1, along with excellent long-term cycle stability, maintaining 463 mAh g−1 at 1000 mA g−1 after 800 cycles. This superior performance is due to the core–shell architecture of the composite, where the carbon core enhances the conductivity of CuS nanoparticles and mitigates volume expansion, thus preventing capacity loss. Our study not only elucidates the significance of carbon in the construction of nano-heterojunctions or composite electrodes but also presents a practical approach to significantly boost the electrochemical performance of CuS and other metal sulfides.
Lithium-Containing Sorbents Based on Rice Waste for High-Temperature Carbon Dioxide Capture
Authors: Yergaziyeva Gaukhar , Mambetova Manshuk , Makayeva Nursaya , Diyarova Banu , Appazov Nurbol
Published: September 2024

This article studies the influence of the nature of the carrier from rice wastes on the sorption properties of lithium-containing sorbents, and also considers the impact of the modifying additive (K2CO3) and adsorption temperature on their characteristics. It has been shown that the sorption capacity of 11LiK/SiO2 at 500 °C reached 36%, which is associated with the formation of lithium orthosilicate in the sorbent composition, as well as with an increase in the specific surface area of the sorbent. After 12 cycles of sorption–desorption, it was found that the sorption capacity of 11LiK/SiO2 for CO2 decreased by only 8%. Rice waste-based sorbents have a high sorption capacity for CO2 at high temperatures, which allows them to be used for carbon dioxide capture. The results of this study indicate the prospects of using agricultural residues to create effective adsorbents that contribute to reducing environmental pollution and combating global warming.
Spatiotemporal Climatology of Georgia Tropical Cyclones and Associated Rainfall
Authors: Corkran Reilly , Trepanier Jill , Brown Vincent
Published: September 2024

Tropical cyclones (TCs), often characterized by high wind speeds and heavy rainfall, cause widespread devastation, affecting millions of people and leading to economic losses worldwide. TC-specific research in Georgia is scarce, likely due to the minimal geographical extent of its coast and the infrequency of direct landfalls. Research on Georgia TCs does not account for storms that make landfall in other southeastern states (e.g., Florida) and continue north, northeast, or northwest into Georgia. This study used the North Atlantic Basin hurricane database (HURDAT2) to quantify the spatiotemporal patterns of direct and indirect landfalling of Georgia tropical cyclones (>16 ms−1) from 1851 to 2021. TC-induced rainfall was also quantified using rainfall data (nClimGrid-Daily and nClimGrid) from 1951 to 2021 to estimate the proportion of Georgia’s total annual and monthly rainfall attributed to TCs. A multi-methodological approach, incorporating statistics and mapping, is employed to assess the trends of Georgia’s tropical cyclones and the associated rainfall. The study analyzed 113 TCs and found that, on average, less than one TC annually (x¯ = 0.66) traverses the state. September averaged the highest percentage (25%) of TC-induced rainfall, followed by October (14%), and August (13%). This pattern aligns with the TC season, with the highest frequency of TCs occurring in September (n = 35), followed by August (n = 25), and October (n = 18). We found that 10% of tropical storms make landfall on the coastline, while the remaining 91% enter Georgia by making landfall in Florida (92%), Louisiana (7%), or South Carolina (1%) first. A threat of TCs during the peak of the season emphasizes the importance of heightened awareness, increased planning practices, and resource allocation during these periods to protect Georgia’s history and natural beauty, and its residents.
Development of a Six-Degree-of-Freedom Deep-Sea Water-Hydraulic Manipulator
Authors: Gao Heng , Wu Defa , Gao Chuanqi , Xu Changkun , Yang Xing , Liu Yinshui
Published: September 2024

With the advancement of deep-sea exploration, the demand for underwater manipulators capable of long-duration heavy-duty operations has intensified. Water-hydraulic systems exhibit less viscosity variation with increasing depth than oil-based systems, offering better adaptability to deep-sea conditions. Using seawater as the driving medium inherently eliminates issues such as oil contamination by water, frequent maintenance limiting underwater operation time, and environmental pollution caused by oil leaks. This paper introduces a deep-sea manipulator directly driven by seawater from the deep-sea environment. To address the challenges of weak lubrication and high corrosion associated with water hydraulics, a reciprocating plunger seal was adopted, and a water-hydraulic actuator was developed. The installation positions of actuator hinges and maximum output force requirements were optimized using particle swarm optimization (PSO), effectively reducing the manipulator’s self-weight. Through kinematic and inverse kinematic analyses and joint performance tests, a six-degree-of-freedom water-hydraulic manipulator was designed with a maximum reach of 2.5 m, a lifting capacity of 5000 N, and end-effector positioning accuracy within 18 mm.
Central Role of the Actomyosin Ring in Coordinating Cytokinesis Steps in Budding Yeast
Authors: Foltman Magdalena , Sanchez-Diaz Alberto
Published: September 2024

Eukaryotic cells must accurately transfer their genetic material and cellular components to their daughter cells. Initially, cells duplicate their chromosomes and subsequently segregate them toward the poles. The actomyosin ring, a crucial molecular machinery normally located in the middle of the cells and underneath the plasma membrane, then physically divides the cytoplasm and all components into two daughter cells, each ready to start a new cell cycle. This process, known as cytokinesis, is conserved throughout evolution. Defects in cytokinesis can lead to the generation of genetically unstable tetraploid cells, potentially initiating uncontrolled proliferation and cancer. This review focuses on the molecular mechanisms by which budding yeast cells build the actomyosin ring and the preceding steps involved in forming a scaffolding structure that supports the challenging structural changes throughout cytokinesis. Additionally, we describe how cells coordinate actomyosin ring contraction, plasma membrane ingression, and extracellular matrix deposition to successfully complete cytokinesis. Furthermore, the review discusses the regulatory roles of Cyclin-Dependent Kinase (Cdk1) and the Mitotic Exit Network (MEN) in ensuring the precise timing and execution of cytokinesis. Understanding these processes in yeast provides insights into the fundamental aspects of cell division and its implications for human health.
MoHG1 Regulates Fungal Development and Virulence in Magnaporthe oryzae
Authors: Pu Xin , Lin Aijia , Wang Chun , Jibril Sauban Musa , Yang Xinyun , Yang Kexin , Li Chengyun , Wang Yi
Published: September 2024

Magnaporthe oryzae causes rice blast disease, which threatens global rice production. The interaction between M. oryzae and rice is regarded as a classic model for studying the relationship between the pathogen and the host. In this study, we found a gene, MoHG1, regulating fungal development and virulence in M. oryzae. The ∆Mohg1 mutants showed more sensitivity to cell wall integrity stressors and their cell wall is more easily degraded by enzymes. Moreover, a decreased content of chitin but higher contents of arabinose, sorbitol, lactose, rhamnose, and xylitol were found in the ∆Mohg1 mutant. Combined with transcriptomic results, many genes in MAPK and sugar metabolism pathways are significantly regulated in the ∆Mohg1 mutant. A hexokinase gene, MGG_00623 was downregulated in ∆Mohg1, according to transcriptome results. We overexpressed MGG_00623 in a ∆Mohg1 mutant. The results showed that fungal growth and chitin contents in MGG_00623-overexpressing strains were restored significantly compared to the ∆Mohg1 mutant. Furthermore, MoHG1 could interact with MGG_00623 directly through the yeast two-hybrid and BiFC. Overall, these results suggest that MoHG1 coordinating with hexokinase regulates fungal development and virulence by affecting chitin contents and cell wall integrity in M. oryzae, which provides a reference for studying the functions of MoHG1-like genes.
Applications of Artificial Intelligence-Based Systems in the Management of Esophageal Varices
Authors: Brata Vlad Dumitru , Incze Victor , Ismaiel Abdulrahman , Turtoi Daria Claudia , Grad Simona , Popovici Raluca , Duse Traian Adrian , Surdea-Blaga Teodora , Padureanu Alexandru Marius , David Liliana , Dita Miruna Oana , Baldea Corina Alexandrina , Popa Stefan Lucian
Published: September 2024

Background: Esophageal varices, dilated submucosal veins in the lower esophagus, are commonly associated with portal hypertension, particularly due to liver cirrhosis. The high morbidity and mortality linked to variceal hemorrhage underscore the need for accurate diagnosis and effective management. The traditional method of assessing esophageal varices is esophagogastroduodenoscopy (EGD), which, despite its diagnostic and therapeutic capabilities, presents limitations such as interobserver variability and invasiveness. This review aims to explore the role of artificial intelligence (AI) in enhancing the management of esophageal varices, focusing on its applications in diagnosis, risk stratification, and treatment optimization. Methods: This systematic review focuses on the capabilities of AI algorithms to analyze clinical scores, laboratory data, endoscopic images, and imaging modalities like CT scans. Results: AI-based systems, particularly machine learning (ML) and deep learning (DL) algorithms, have demonstrated the ability to improve risk stratification and diagnosis of esophageal varices, analyzing vast amounts of data, identifying patterns, and providing individualized recommendations. However, despite these advancements, clinical scores based on laboratory data still show low specificity for esophageal varices, often requiring confirmatory endoscopic or imaging studies. Conclusions: AI integration in managing esophageal varices offers significant potential for advancing diagnosis, risk assessment, and treatment strategies. While promising, AI systems should complement rather than replace traditional methods, ensuring comprehensive patient evaluation. Further research is needed to refine these technologies and validate their efficacy in clinical practice.
Sinonasal Outcomes Obtained after 2 Years of Treatment with Benralizumab in Patients with Severe Eosinophilic Asthma and CRSwNP: A “Real-Life” Observational Study
Authors: De Corso Eugenio , Mele Dario Antonio , Rizzi Angela , Spanu Camilla , Corbò Marco , Pisciottano Serena , Mastrapasqua Rodolfo Francesco , Baroni Silvia , Porru Davide Paolo , De Maio Gabriele , Rizzuti Alberta , Di Bella Giuseppe Alberto , Ortolan Augusta , Bonini Matteo , Cefaloni Francesca , Boccabella Cristina , Lombardi Francesco , Chini Raffaella , Caruso Cristiano , Panfili Marco , Galli Jacopo
Published: September 2024

Background/Objectives: Benralizumab is a monoclonal antibody that targets the interleukin-5 receptor (IL-5Rα), leading to the rapid depletion of blood eosinophils. RCTs have demonstrated efficacy in patients with severe eosinophilic asthma (SEA). The aim of this study was to assess the efficacy of benralizumab on sinonasal outcomes in a real-life setting in patients with SEA and concomitant chronic rhinosinusitis with nasal polyps (CRSwNP). Methods: We included 25 patients (mean age: 57.47 years, range: 35–77, F/M = 12:13) who were prescribed 30 mg benralizumab every month for the first three administrations and then every 2 months. The primary endpoint was to evaluate changes in the SinoNasal Outcome Test-22 (SNOT-22) and nasal polyp score (NPS) over a 24-month treatment period. Secondary endpoints included measuring the effects on nasal obstruction and impaired sense of smell. Results: The mean NPS score decreased significantly from 5.11 ± 1.84 at baseline to 2.37 ± 1.96 at 24 months. The mean SNOT-22 decreased from 57 ± 15.30 at baseline to 26 ± 16.73 at 24 months. The SSIT-16 mean score improved with an increase in olfactory performance from 5.23 ± 2.58 at baseline to 7 ± 3.65 at 24 months. Moreover, 8/25 patients (32%) required rescue treatment with systemic steroids and 2 patients required endoscopic sinus surgery. Conclusions: While the improvement may not seem optimal at 12 months, a progressive enhancement was noted during the second year of treatment. Despite our data showing an improvement in quality of life and a reduction in the size of nasal polyps, no significant improvement in olfactory sensitivity was observed. In addition, in several patients, rescue treatments were required to maintain control of nasal and sinus symptoms. A careful risk–benefit assessment is therefore needed when deciding to continue treatment, weighing the potential for further improvement against the risks of complications. Such decisions should always be made in the context of a multidisciplinary team.
Risk-Adapted Use of Vancomycin in Secondary Scoliosis Surgery May Normalize SSI Risk in Surgical Correction of High-Risk Patients
Authors: Taheri Nima , Köhli Paul , Li Zhao , Wang Zhen , Vu-Han Tu-Lan , Cloeren Konstantin , Koch Antonia , Tsitsilonis Serafeim , Schömig Friederike , Khakzad Thilo , Pumberger Matthias
Published: September 2024

Introduction: Intrawound application of vancomycin is becoming increasingly controversial for the prevention of surgical site infection (SSI). As children undergoing spinal fusion for secondary scoliosis are at high risk for SSIs, evidence regarding the impact of intraoperative vancomycin installation on SSI rates in these patients is of utmost importance. Methodology: A single surgeon cohort of patients under 18 years of age undergoing surgery for secondary scoliosis in 2017 was analyzed with regard to the development of SSIs requiring surgical revision and adverse events. Use of vancomycin was restricted to cases with higher risk of infection. Patients undergoing distraction surgery for growing devices were excluded. Results: After exclusions, 64 patients remained (vancomycin n = 39, control n = 25). The SSI rates were 12.8% in patients receiving vancomycin (n = 5/39) and 4% in the control group (n = 1/25, p = 0.785). None of the patients suffered from adverse events. Univariable logistic regression revealed younger age (p = 0.03) and meningomyelocele as predictors for SSI (p = 0.006), while the high-risk group receiving vancomycin was not at higher odds for SSI, also after adjustment for possible confounders such as age or MMC (p = 0.031; p = 0.009). Discussion: SSI rates were comparable between groups, suggesting a normalization of SSI risk in the vancomycin-treated patients with a preoperatively increased risk of SSI. Future, larger studies in these rare diseases are needed to confirm these results.
Continuous and Stable Printing Method of Planar Microstructure Based on Meniscus-Confined Electrodeposition
Authors: Yang Yawen , Wan Hanchi , Xing Qiang , Zhang Xiaoping , Xu Haili
Published: September 2024

The meniscus-confined electrodeposition (MCED) technique offers advantages such as low cost and wide applicability, making it a promising method in the field of micro/nanofabrication. However, unstable meniscal morphology and poor deposition quality during planar deposition in MCED necessitate the development of improved methods. Therefore, a planar adaptive micro-tuning deposition method (PAMTDM), which utilizes the positioning technology of scanning electrochemical cell microscopy (SECCM) and employs a singular value decomposition (SVD) planar fitting method to determine the flatness of the deposition plane, is proposed. An adaptive micro-tuning motion mode was proposed by analyzing the variation patterns of the meniscus. Moreover, a combination of multi-physics finite element simulations and orthogonal experimental methods was introduced to determine the optimal motion parameters. The experimental results demonstrate that the PAMTDM effectively addresses the issues encountered during planar growth. Compared to the point-by-point deposition method, the PAMTDM achieves a threefold increase in deposition speed for continuous deposition of 105-μm-long line segments in two-dimensional planes, with a deposition current error of less than 0.2 nA. In conclusion, the proposed method provides significant insights into the broad future applications of MCED.
Energy Conversion Associated with Intermittent Currents in the Magnetosheath Downstream of the Quasi-Parallel Shock
Authors: Li Xinmin , Wang Rongsheng , Lu San , Guo Ao , Zhang Zhijian
Published: September 2024

Using the data from the Magnetospheric Multiscale (MMS) mission, we studied the energy conversion between electromagnetic fields and particles (ions and electrons) in a spacecraft rest frame inside a turbulent magnetosheath downstream of the quasi-parallel shock. The results show that the energy conversion was highly intermittent in the turbulent magnetosheath, and the perpendicular electric fields dominated the energy conversion process. The energy conversion among the electromagnetic fields, ions, and electrons was related to the current intensity. In the region with weak current, the ions gained energy from electromagnetic fields, while the electron energy was released and transferred into electromagnetic fields. In contrast, in the intense current region, the energy of ions was transferred into the electromagnetic fields, but the electrons gained energy from electromagnetic fields. The results quantitatively established the relationship between energy conversion rate and current density and revealed that the energy conversion among the electromagnetic fields, ions, and electrons was related to the local current intensity inside the shocked turbulence.
The Role of Intravascular Ultrasound in the Evaluation and Treatment of Free-Floating Stent Struts Following Inadequate Ostial Circumflex Stenting: A Case Report
Authors: Tesic Milorad , Mladenovic Djordje , Vukcevic Vladan , Jelic Dario , Milasinovic Dejan
Published: September 2024

Introduction: Excessive stent strut protrusion in the distal left main (LM) from either the left anterior descending (LAD) or circumflex (Cx) artery following inadequate ostial stenting may complicate any later procedure involving the left coronary artery. In such case scenarios, intravascular ultrasound (IVUS) guidance provides accurate assessment of the ostial stent position and may facilitate subsequent management strategies and treatment. Case summary: We present a complex percutaneous coronary intervention (PCI) of LM bifurcation in a 49-year-old man following inadequate ostial Cx stenting that resulted in excessive stent protrusion in the distal LM segment, accompanied by a subsequent short 80–90% ostial LAD stenosis. Initially, IVUS was performed to confirm “floating struts” from a previous Cx ostial stenting and to ensure complete intraluminal placement of the wire within the stent leading to the Cx, precluding any side passage through the stent struts. Then, a second wire was inserted into the LAD through the most distal stent strut under live IVUS guidance. Further PCI was completed according to the principles of the double kissing mini-culotte technique. Final IVUS runs confirmed correct stent apposition and expansion in the LM, LAD and Cx segments. Conclusions: In cases involving the treatment of “free-floating” struts in the distal LM artery, intravascular imaging is essential to ensure optimal PCI outcomes.
Influence of Nutrition, Lifestyle Habits, and Socio-Demographic Determinants on Eating Disorder Symptoms in the Spanish Young Adult Population: A Cross-Sectional Nationwide Survey
Authors: Sandri Elena , Sguanci Marco , Cantín Larumbe Eva , Cerdá Olmedo Germán , Piredda Michela , Mancin Stefano
Published: September 2024

Eating disorders represent a complex and multifaceted public health challenge, highly prevalent among young people. Background and Objectives: To examine the prevalence of eating disorders in the Spanish young adult population aged 18–30 years, and their correlation with various eating habits and lifestyle factors. Materials and Methods: A descriptive, cross-sectional survey was carried out using a non-probabilistic snowball sample. The valid and reliable NutSo-HH Scale was employed to collect data on nutrition, lifestyle, and health habits. Results: Data were collected from 9692 Spanish young adults, of which 101 (1.04%) were diagnosed with anorexia nervosa and 71 (0.73%) with bulimia nervosa. The prevalence of anorexia and bulimia was significantly higher (p < 0.001) in women than in men, regardless of socio-demographic variables such as educational level, income, region, and size of city of residence. A considerable percentage of participants showed possible symptoms of eating disorders. Nutritionally, individuals with eating disorders consumed less fast food and fried or ultra-processed food but tended to consume coffee and energy drinks more frequently. Additionally, sleep quality and duration were more adversely affected in individuals with eating disorders compared to the general population. Sedentary lifestyles did not significantly differ between those with eating disorders and healthy individuals, though physical activity increased in people with bulimia. Conclusions: The interplay between young adults’ dietary habits, lifestyle factors, and mental health underscores the urgent need for targeted interventions to effectively address these complex public health challenges.
Crack Growth Patterns of Aluminum Tubular Specimens Subjected to Cyclic Tensile Loads
Authors: Abatta-Jacome Lenin , Caminos Luis , Gonzalez-Herrera Antonio , Garcia-Manrique Jose Manuel
Published: September 2024

This study presents a detailed analysis of a fatigue test campaign in order to identify different crack patterns. It was conducted on 6061-T6 aluminum tubular specimens featuring an internal diameter of 10 mm and different thicknesses (2, 3 and 4 mm). These specimens were subjected to cyclic tensile loads with a load ratio of R = 0.1, utilizing a sinusoidal load function at a frequency of 3 Hz. The investigation examines the crack growth rates, the stress intensity factor, and the final and intermediate fracture zones by applying overloads in some cases. The differences with two-dimensional specimens and the importance of this study for the interpretation of results with biaxial loading states are highlighted. The different states of crack growth detected are analyzed using artificial vision techniques. The differences between the exterior and interior faces of the specimen are revealed, and a series of states prior to the formation of the radial crack front expected in these specimens are identified.
Salar de Atacama Lithium and Potassium Productive Process
Authors: Torres David , Pérez Kevin , Galleguillos Madrid Felipe M. , Leiva Williams H. , Gálvez Edelmira , Salinas-Rodríguez Eleazar , Gallegos Sandra , Jamett Ingrid , Castillo Jonathan , Saldana Manuel , Toro Norman
Published: September 2024

The average lithium content in the Earth’s crust is estimated at about 0.007%. Despite this, lithium is considered abundant and widely distributed, with significant extraction from various sources. Notably, the brines in the Salar de Atacama are highlighted for their high lithium concentration ~1800 mg/L. Lithium is currently recovered from these brines through a solar evaporation process. The brine is transferred through a series of ponds, increasing the lithium concentration from 0.2% to 6% over 18 months, while decanting other minerals like potassium, magnesium, and boron. This method is the most efficient and cost-effective globally due to the Salar de Atacama’s high lithium concentration of approximately 1800 ppm and the region’s intense solar radiation, which facilitates evaporation at no economic cost. This manuscript describes in detail the lithium and potassium extraction processes used in the Salar de Atacama.
Modeling Microstructure Development upon Continuous Cooling of 42CrMo4 Steel Grade for Large-Size Components
Authors: Fernandez-Sanchez Sergio , Iza-Mendia Amaia , Jorge-Badiola Denis
Published: September 2024

42CrMo4-type steel grades are widely used in a great variety of components that require ad hoc mechanical properties. However, due to the dimensions of large components and the previous thermomechanical treatments, the presence of heterogeneities in the chemical compositions are expected to impact those mechanical properties. In the present work, a detailed analysis of phase transformation behavior upon cooling was carried out through a dilatometry test on samples of 42CrMo4 belonging to a component that has a non-homogeneous chemical distribution. The analysis of the dilatation signals and the quantitative metallography shows a rather complex behavior depending on the cooling rate as well as on the region of observation. Two different phase transformation models based on Li’s approach were applied to the present composition to determine the CCT curve as well as the fraction of the microconstituents. An extensive discussion was carried out on some aspects about Kirkaldy-based approaches that need to be improved so as to attain more reliable quantitative results when modeling phase transformations in heterogenous systems.