bluuebunny/crossref_metadata_2025 huggingface dataset:
Associations of healthy eating index-2015 with osteoporosis and low bone mass density in postmenopausal women: a population-based study from NHANES 2007–2018
Authors: Wang Kai , Wu Jinyi , Deng Minggang , Tao Fengxi , Li Qingwen , Luo Xin , Xia Fang
Published: April 2024

Purpose

The current study aimed to explore the associations of diet quality assessed by healthy eating index-2015 (HEI-2015) with risks of osteoporosis and low bone mineral density (BMD) among American postmenopausal women aged 50 years and older.

Methods

Postmenopausal women aged 50 years and older in the National Health and Nutrition Examination Survey from 2007 through 2018 were included in the final sample. Analysis of variance and Rao-Scott adjusted chi-square tests were used to compare the characteristics across tertiles of HEI-2015. Univariate and multivariate weighted logistic regression models were employed to explore the associations of HEI-2015 tertiles and continuous HEI-2015 with the risks of osteoporosis and low BMD. Nonlinear dose-response associations were evaluated using weighted restricted cubic spline analyses, and the contributions of various HEI-2015 components were assessed using weighted quantile sum regression models.

Results

The final sample included 3,421 postmenopausal women aged 50 years and older representative for approximately 28.38 million non-institutionalized U.S. postmenopausal women. Osteoporosis prevalence decreased with HEI-2015 tertiles while the prevalence of low BMD showed no significant decrease. Compared with postmenopausal women in the first tertile of HEI-2015, those with the second (OR: 0.57, 95%CI: 0.38–0.84) and third (OR: 0.48, 95%CI: 0.29–0.78) HEI-2015 tertiles were associated with reduced osteoporosis risk after multivariate adjustments, but no significant association of HEI-2015 with the risk of BMD was identified. Furthermore, similar effects were confirmed in the sensitivity analyses and subgroup analyses and interaction effects. Moreover, significant nonlinear associations were observed between HEI-2015 with osteoporosis risk, and total vegetables, refined grains and greens and beans demonstrated the strongest protective effect among HEI-2015 components against osteoporosis.

Conclusions

This study strongly suggests the significant negative associations of HEI-2015 with osteoporosis risk in American postmenopausal women. These findings highlight the importance of adherence to the dietary guidelines for Americans in reducing the risk of osteoporosis.
Perinatal optimisation for periviable birth and outcomes: a 4-year network analysis (2018–2021) across a change in national guidance
Authors: Peterson J. , Smith D. M. , Johnstone E. D. , Mahaveer A.
Published: April 2024

Introduction

The British Association of Perinatal Medicine (BAPM) released their revised framework for extremely preterm infant management in 2019. This revised framework promotes consideration of perinatal optimisation and survival-focused care from 22 weeks gestation onwards. This was a departure from the previous BAPM framework which recommended comfort care as the only recommended management for infants <23 + 0 weeks.

Methods

Our study evaluates the clinical impact that this updated framework has had across the Northwest of England. We utilised anonymised network data from periviable infants delivered across the region to examine changes in perinatal optimisation practices and survival outcomes following the release of the latest BAPM framework.

Results

Our data show that after the introduction of the updated framework there has been an increase in perinatal optimisation practices for periviable infants and an 80% increase in the number of infants born at 22 weeks receiving survival-focused care and admission to a neonatal unit.

Discussion

There remain significant discrepancies in optimisation practices by gestational age, which may be contributing to the static survival rates that were observed in the lowest gestational ages.
Bioactive components and potential mechanisms of Biqi Capsule in the treatment of osteoarthritis: based on chondroprotective and anti-inflammatory activity
Authors: Jia Ziyue , Zhang Jiale , Yang Xintong , Chen Huiyou , Wang Yuxing , Francis Opoku Bonsu , Li Yuanchao , Liu Zhanbiao , Zhang Shaozhuo , Wang Qilong
Published: April 2024

Cartilage damage and synovial inflammation are vital pathological changes in osteoarthritis (OA). Biqi Capsule, a traditional Chinese medicine formula used for the clinical treatment of arthritis in China, yields advantages in attenuating OA progression. The drawback here is that the bioactive components and pharmacological mechanisms by which Biqi Capsule exerts its anti-inflammatory and chondroprotective effects have yet to be fully clarified. For in vivo studies, a papain-induced OA rat model was established to explore the pharmacological effects and potential mechanisms of Biqi Capsule against OA. Biqi Capsule alleviated articular cartilage degeneration and chondrocyte damage in OA rats and inhibited the phosphorylation of NF-κB and the expression of pro-inflammatory cytokines in synovial tissue. Network pharmacology analysis suggested that the primary biological processes regulated by Biqi Capsule are inflammation and oxidative stress, and the critical pathway regulated is the PI3K/AKT signaling pathway. The result of this analysis was later verified on SW1353 cells. The in vitro studies demonstrated that Glycyrrhizic Acid and Liquiritin in Biqi Capsule attenuated H2O2-stimulated SW1353 chondrocyte damage via activation of PI3K/AKT/mTOR pathway. Moreover, Biqi Capsule alleviated inflammatory responses in LPS-stimulated RAW264.7 macrophages via the NF-κB/IL-6 pathway. These observations were suggested to have been facilitated by Brucine, Liquiritin, Salvianolic Acid B, Glycyrrhizic Acid, Cryptotanshinone, and Tanshinone ⅡA. Put together, this study partially clarifies the pharmacological mechanisms and the bioactive components of Biqi capsules against OA and suggests that it is a promising therapeutic option for the treatment of OA. Chemical compounds studied in this article. Strychnine (Pubchem CID:441071); Brucine (Pubchem CID:442021); Liquiritin (Pubchem CID:503737); Salvianolic Acid B (Pubchem CID:6451084); Glycyrrhizic Acid (Pubchem CID:14982); Cryptotanshinone (Pubchem CID:160254); Tanshinone ⅡA (Pubchem CID:164676).
Developing practical recommendations for drug-disease interactions in patients with hypertension
Authors: Özokcu Kübra , Diesveld Maaike M. E. , Gipmans Suzan G. H. , Peeters Laura E. J. , van den Born Bert-Jan , Borgsteede Sander D.
Published: April 2024

Background:

Hypertension, a significant risk factor for cardiovascular diseases, demands proactive management as cardiovascular diseases remain the leading cause of death worldwide. Reducing systolic and diastolic blood pressure levels below recommended reference values of <140/90 mmHg can lead to a significant reduction of the risk of CVD and all-cause mortality. However, treatment of hypertension can be difficult and the presence of comorbidities could further complicate this treatment. Drugs used to manage these comorbidities may inadvertently have an impact on blood pressure, resulting in a phenomenon known as drug-disease interaction. This study aims to assess the safety of medication that can affect blood pressure in patients with hypertension and provide practical recommendations for healthcare professionals.

Methods:

For the development of recommendations for the drug-disease interaction (DDSI) hypertension, a six-step plan that combined literature selection and multidisciplinary expert opinion was used. The process involved (1) defining the scope of the DDSI and selecting relevant drugs, (2) collecting evidence, (3) data-extraction, (4) reaching of expert consensus, (5) publication and implementation of the recommendations in healthcare systems and (6) updating the information.

Results:

An increase of 10 mmHg in systolic blood pressure and 5 mmHg in diastolic blood pressure was defined as clinically relevant. Corticosteroids, danazol, and yohimbine caused a clinically relevant DDSI with hypertension. Several other drugs with warnings for hypertension in the official product information were assessed to have no clinically relevant DDSI due to minor influence or lack of data on blood pressure. Drugs with evidence for a relevant change in blood pressure which are prescribed under close monitoring of blood pressure according to clinical guidelines, were deemed to be not clinically relevant for signalling.

Conclusion:

This study provides specific recommendations that can be implemented directly in clinical practice, for example, in clinical decision support systems, potentially resulting in safer drug use in patients with hypertension and better healthcare by reducing alert fatigue. Future research should focus on evaluating the effectiveness of implementation strategies and their impact on reducing unsafe use of medication in patients with hypertension.
Oxytocin infusion dose-response to maintain uterine tone in obese elective cesarean patients: a randomized controlled trial
Authors: Yan Qin-Fang , Ai Ling , Huang Yi-Min , Wang Jianguo , Xiao Fei , Xu Huiqin , Tang Xue-Dong
Published: April 2024

Background

For cesarean delivery (CD), the 90% effective dosage (ED90) of oxytocin for a first bolus has been established. It is not yet known how much oxytocin to inject into obese women undergoing elective discectomy to keep their uterine tone (UT) appropriate. We hypothesized that patients who are overweight need a greater dose of oxytocin infusion; thus, we aimed to determine how the dose-response curve for oxytocin infusion changes following an initial 1 international unit (IU) bolus in obese women undergoing elective CD.

Methods

One hundred parturients with a body mass index (BMI) greater than 30 kg/m2 were randomly assigned to receive an infusion rate of 14, 18, 22, or 26 IU/h of oxytocin. When the uterine palpation is as hard as touching the forehead or tip of the nose, it is considered sufficient UT according to the criteria used by obstetricians. The median effective dose (ED50) and ED90 values were determined using probit analysis.

Results

We found the ED50 and ED90 values for the infusion dose of oxytocin were around 11.0 IU/h and 19.1 IU/h, respectively. Each group had a different number of parturients who needed rescued oxytocin: 14 IU/h for six, 18 IU/h for three, one for 22 IU/h, and none for 26 IU/h. The correlation between the frequency of rescued oxytocin administration and the amount of oxytocin infusion needed to avoid uterine atony was statistically significant (p = 0.02).

Conclusion

The present research showed that the most effective dosage of oxytocin infusion for obese parturients undergoing elective CD is 19.1 IU/h, following an initial loading dose of 1 IU. Patients with obesity should receive a greater dosage of prophylactic oxytocin, and further studies comparing patients with and without obesity (with higher BMI) are required.

Clinical Trial Registration

https://www.chictr.org.cn/showproj.html?proj=159951, identifier ChiCTR2200059582.
Investigation of the shared biological mechanisms and common biomarker APTAF1 of sleep deprivation and mild cognitive impairment using integrated bioinformatics analysis
Authors: Liu Xiaolan , Lu Baili , Huang Hui
Published: April 2024

Introduction: The relationship between sleep loss and cognitive impairment has long been widely recognized, but there is still a lack of complete understanding of the underlying mechanisms and potential biomarkers. The purpose of this study is to further explore the shared biological mechanisms and common biomarkers between sleep loss and cognitive impairment.

Methods: The mitochondria-related genes and gene expression data were downloaded from the MitoCarta3.0 and Gene Expression Omnibus (GEO) databases. We identified the differentially expressed mitochondrial-related genes by combing the differentially expressed genes (DEGs) in sleep deprivation (SD) and mild cognitive impairment (MCI) datasets with mitochondria-related gene lists. Shared DEGs were then further analyzed for enrichment analysis. Next, the common biomarker was identified using two machine learning techniques and further validated using two independent GEO datasets. Then GSEA and GSVA were conducted to analyze the functional categories and pathways enriched for the common biomarker. Finally, immune infiltration analysis was used to investigate the correlation of immune cell infiltration with the common biomarker in SD and MCI.

Results: A total of 32 mitochondrial-related differentially expressed genes were identified in SD and MCI. GO analysis indicated that these genes were significantly enriched for mitochondrial transport, and KEGG analysis showed they were mainly involved in pathways of neurodegenerative diseases. In addition, ATPAF1, which was significantly down-regulated in both SD and MCI, was identified through machine learning algorithms as the common biomarker with favorable diagnostic performance. GSEA and GSVA revealed that ATPAF1 was mainly involved in metabolic pathways, such as oxidative phosphorylation, acetylcholine metabolic process, valine, leucine and isoleucine degradation. Immune infiltration analysis showed that the expression of ATPAF1 was correlated with changes in immune cells, especially those key immune cell types associated with SD and MCI.

Discussion: This study firstly revealed that mitochondrial dysfunction may be the common pathogenesis of sleep loss and mild cognitive impairment and identified ATPAF1 as a possible biomarker and therapeutic target involved in SD and MCI.
Is Autism Different for Girls and Boys?
Authors: Fasano Regina M. , Romero Celia , Durocher Jennifer S. , Perry Lynn K.
Published: April 2024

Autism is a common condition that affects the way people think and interact with the world. Most of our knowledge about autism is from research done with autistic boys. This means that we do not know much about the ways that autistic girls may be different than autistic boys. Now, researchers are including more autistic girls in their studies to find out about these differences. However, not all researchers find the same results: some researchers find that autistic boys are better at some tasks and other researchers find that autistic girls are better at those same tasks. In this article, we review some of the findings about differences between autistic girls and boys and talk about why it is important to understand these differences.
Dietary supplementation of Chinese herbal medicines enhances the immune response and resistance of rainbow trout (Oncorhynchus mykiss) to infectious hematopoietic necrosis virus
Authors: Wang Qi , Pan Yucai , Huang Jinqiang , Li Yongjuan , Wu Shenji , Zhao Lu , Sun Tongzhen , Kang Yujun , Liu Zhe
Published: April 2024

Rainbow trout is a widely farmed economical cold-water fish worldwide, but the prevalence of infectious hematopoietic necrosis virus (IHNV) presents a severe risk to the aquaculture industry, resulting in high mortality and huge economic losses. In this study, the impacts of different concentrations (0, 10, 20, and 30 g/kg) of Chinese herbal medicine mixture (CHMM) on the immune response and resistance of rainbow trout to IHNV infection were evaluated. The results show that CHMM noticeably increased (P < 0.05) T-SOD, CAT, AST, ALT, ACP, and AKP activities and decreased MDA content. NF-κB, TNF-α, IFN-β, IL-1β, JAK1, HSP70, and HSP90 expressions were significantly upregulated (P < 0.05) in all CHMMs, while SOCS2 expression was downregulated (P < 0.05). Following infection with IHNV, feeding rainbow trout with varying amounts of CHMM resulted in noticeably increased (P < 0.05) T-SOD, ACP, and AKP activities and significantly decreased (P < 0.05) MDA content and AST and ALT activities. TNF-α, IFN-β, IL-1β, HSP70, and HSP90 expressions were significantly upregulated (P < 0.05) in all CHMMs, while the expressions of JAK1 and SOCS2 were downregulated. The expression level of the IHNV G protein gene at a dosage of 20 g/kg was notably lower than that of the other CHMM feeding groups. This study provides a solid scientific basis for promoting CHMM as an immunostimulant for boosting antiviral immunity in rainbow trout.
Evaluating complete response prediction rates in locally advanced rectal cancer with different radiomics segmentation approaches
Authors: Kaval Gizem , Dagoglu Kartal Merve Gulbiz , Azamat Sena , Cingoz Eda , Ertas Gokhan , Karaman Sule , Kurtuldu Basak , Keskin Metin , Berker Neslihan , Karabulut Senem , Oral Ethem Nezih , Dagoglu Sakin Nergiz
Published: April 2024

Purpose:

Studies examining prediction of complete response (CR) in locally advanced rectum cancer (LARC) from pre/post chemoradiotherapy (CRT) magnetic resonance imaging (MRI) are performed mostly with segmentations of the tumor, whereas only in two studies segmentation included tumor and mesorectum. Additionally, pelvic extramesorectal region, which is included in the clinical target volume (CTV) of radiotherapy, may contain information. Therefore, we aimed to compare predictive rates of radiomics analysis with features extracted from segmentations of tumor, tumor+mesorectum, and CTV.

Methods and materials:

Ninety-three LARC patients who underwent CRT in our institution between 2012 and 2019 were retrospectively scanned. Patients were divided into CR and non-CR groups. Tumor, tumor+mesorectum and CTV were segmented on T2 preCRT MRI images. Extracted features were compared for best area under the curve (AUC) of CR prediction with 15 machine-learning models.

Results:

CR was observed in 25 patients (26.8%), of whom 13 had pathological, and 12 had clinical complete response. For tumor, tumor+mesorectum and CTV segmentations, the best AUC were 0.84, 0.81, 0.77 in the training set and 0.85, 0.83 and 0.72 in the test set, respectively; sensitivity and specificity for the test set were 76%, 90%, 76% and 71%, 67% and 62%, respectively.

Conclusion:

Although the highest AUC result is obtained from the tumor segmentation, the highest accuracy and sensitivity are detected with tumor+mesorectum segmentation and these findings align with previous studies, suggesting that the mesorectum contains valuable insights for CR. The lowest result is obtained with CTV segmentation. More studies with mesorectum and pelvic nodal regions included in segmentation are needed.
Endometrial Cancer in Reproductive-Aged Females: Etiology and Pathogenesis
Authors: Bassette Emma , Ducie Jennifer A.
Published: April 2024

Endometrial cancer is the most common gynecologic malignancy in developed countries, and the incidence is rising in premenopausal females. Type I EC is more common than Type II EC (80% vs. 20%) and is associated with a hyperestrogenic state. Estrogen unopposed by progesterone is considered to be the main driving factor in the pathogenesis of EC. Studies show that BMI > 30 kg/m2, prolonged duration of menses, nulliparity, presence of polycystic ovarian syndrome, and Lynch syndrome are the most common causes of EC in premenopausal women. Currently, there are no guidelines established to indicate premenopausal patients who should be screened. This review aims to synthesize current data on the etiology, risk factors, presentation, evaluation, and prognosis of endometrial cancer in this population.
Circulating microRNAs as Non-Invasive Biomarkers in Endometriosis Diagnosis—A Systematic Review
Authors: Vanhie Arne , Caron Ellen , Vermeersch Eveline , O Dorien , Tomassetti Carla , Meuleman Christel , Mestdagh Pieter , D’Hooghe Thomas M.
Published: April 2024

The aim of this systematic review is to assess the power of circulating miRNAs as biomarkers as a diagnostic tool in endometriosis. In endometriosis-suspected women with uncertain imaging, the only way to confirm or exclude endometriosis with certainty is currently laparoscopy. This creates a need for non-invasive diagnostics. We searched the literature through the PubMed database using the Mesh terms ‘endometriosis’ and ‘miRNAs’. Some, but limited, overlap was found between the 32 articles included, with a total of 20 miRNAs reported as dysregulated in endometriosis in two or more studies. MiR-17-5p was reported as dysregulated in six studies, followed by miR-451a and let-7b-5p in four studies and miR-20a-5p, miR-143-3p, miR-199a-5p and miR-3613-5p in three studies. Furthermore, a possible impact of the menstrual phase on miRNA expression was noted in five studies, while no influence of hormonal intake was observed in any included study. The modest reproducibility between studies may be attributable to biological variability as well as to the lack of universal protocols, resulting in pre- and analytical variability. Despite the identification of several suitable candidate biomarkers among the miRNAs, the need for high-quality studies with larger and well-defined population cohorts and the use of standardized protocols lingers.
Recent Advances in Large Language Models for Healthcare
Authors: Nassiri Khalid , Akhloufi Moulay A.
Published: April 2024

Recent advances in the field of large language models (LLMs) underline their high potential for applications in a variety of sectors. Their use in healthcare, in particular, holds out promising prospects for improving medical practices. As we highlight in this paper, LLMs have demonstrated remarkable capabilities in language understanding and generation that could indeed be put to good use in the medical field. We also present the main architectures of these models, such as GPT, Bloom, or LLaMA, composed of billions of parameters. We then examine recent trends in the medical datasets used to train these models. We classify them according to different criteria, such as size, source, or subject (patient records, scientific articles, etc.). We mention that LLMs could help improve patient care, accelerate medical research, and optimize the efficiency of healthcare systems such as assisted diagnosis. We also highlight several technical and ethical issues that need to be resolved before LLMs can be used extensively in the medical field. Consequently, we propose a discussion of the capabilities offered by new generations of linguistic models and their limitations when deployed in a domain such as healthcare.
Tensile Mechanical and Stress-Strain Behavior of Recycling Polypropylene Fiber Recycled Coarse Aggregate Concrete
Authors: Wang Jianchao , Liang Jiahe , Li Yucheng , Hou Wei
Published: April 2024

To effectively recycle waste petroleum products and construction waste, recycling polypropylene fiber (RPF) and recycled aggregate can be mixed into concrete to make RPF recycled coarse aggregate (RCA) concrete. In this study, the RPF recycled from a polypropylene (PP) packaging belt was used as the test material and manually cut into the shape required for the experiment. The effects of RCA and RPF on the tensile mechanical behavior of concrete are researched. The failure modes and constitutive relationship of the specimens under axial tension and splitting tension are further investigated. The results show that the axial tensile strength of RPF RCA concrete first increased and then decreased with the increase in fiber volume content, and was the largest when the fiber volume content was 1.5%, and its strength increased by 21.14% compared with that of recycled concrete. Its lifting rate relative to recycled concrete is between 13.14–21.41%. The change trend of axial tensile strength with the substitution rate of RCA is that it decreases with the increase in substitution rate, and the substitution rate decreases by 9.64% when the substitution rate is 100% compared with 0%.The peak strain first increased and then decreased with the increase in fiber volume content, and the maximum fiber volume content was 1.5%, which increased by 28.19% compared with that of recycled concrete. The peak strain first increased and then decreased with the increase in fiber length-diameter ratio, and the maximum length-diameter ratio was 47.85, which increased by 18.22% compared with that of recycled concrete. The peak strain increased with the increase in the replacement rate of RCA, and the peak strain at 30%, 60% and 100% was 96.22%, 102.45% and 118.09% when the replacement rate was 0%, respectively.
What Have We Learned about the Prevention of NMSC from Albino Patients from Malawi? Secondary Prevention Maintained over Time
Authors: Tomás-Velázquez Alejandra , Moreno-Artero Ester , Romero Javier , Escalonilla Pilar , Medina Isabel , Petiti Gisela Hebe , Redondo Pedro
Published: April 2024

Background: We have conducted cooperative campaigns focusing on albino patients in a rural area of Malawi. What have we learned? Methods: Three surgical campaigns were performed in Nkhotakota district (2019–2023). Albino clinical and tumor characteristics were collected. Results: Between 22 and 75 albinos were evaluated in each campaign (mean age < 28 years old). Most patients did not use sunscreen in a way that provided optimal photoprotection. Regarding tumors, the proportion of basal and squamous cell carcinomas ranged from 1:1 to almost 2:1. Of 156 albino patients, 34 attended more than once. However, of the 19 patients with 30 tumors operated on in 2021, only seven were assessed the following year (12 were lost to follow-up). At least 14 albinos with locally advanced tumors were evaluated. Conclusions: Distributing photoprotective clothing could be more efficient or perhaps an earlier measure of sunscreen in rural Africa as it does not require permanent repositioning. Very-high-risk patients (previous interventions with positive margins or high-risk tumors, intense actinic damage, and new tumors constantly appearing, especially those presenting SCCs) require close follow-up and treatment and represent our main target. Secondary prevention with Malawian collaboration and the use of teledermatology is essential for patient tracking, as they are able to offer curative treatments.
Head and Neck Paragangliomas: Overview of Institutional Experience
Authors: Vimawala Swar N. , Graboyes Alex Z. , Bennett Bonita , Bonanni Maria , Abbasi Aleena , Oliphant Tanaya , Alonso-Basanta Michelle , Rassekh Christopher , Cohen Debbie , Brant Jason A. , Huan Yonghong
Published: April 2024

Head and neck paragangliomas (HNPGLs) are rare and have high rates of genetic mutations. We conducted a retrospective review of 187 patients with 296 PGLs diagnosed between 1974 and 2023. The mean age of diagnosis was 48.8 years (range 10 to 82) with 69.0% female and 26.5% patients with multiple PGLs. Among 119 patients undergoing genetic testing, 70 (58.8%) patients had mutations, with SDHB (30) and SDHD (26) being the most common. The rates of metastasis and recurrence were higher among patients with SDHB mutations or SDHD mutations associated with multiple PGLs. Metabolic evaluation showed elevated plasma dopamine levels were the most common derangements in HNPGL. MRI and CT were the most common anatomic imaging modalities and DOTATATE was the most common functional scan used in this cohort. Most patients (81.5%) received surgery as the primary definitive treatment, while 22.5% patients received radiation treatment, mostly as an adjuvant therapy or for surgically challenging or inoperable cases. Systemic treatment was rarely used in our cohort. Our single-center experience highlights the need for referral for genetic testing and metabolic evaluation and for a team-based approach to improve the clinical outcomes of patients with HNPGLs.
Drug Cost Avoidance Resulting from Participation in Clinical Trials: A 10-Year Retrospective Analysis of Cancer Patients with Solid Tumors
Authors: Carreras Maria-Josep , Renedo-Miró Berta , Valdivia Carolina , Tomás-Guillén Elena , Farriols Anna , Mañós Laura , Vidal Jana , Alcalde María , De la Paz Isabel , Jiménez-Lozano Inés , Palacio-Lacambra Maria-Eugenia , Sabaté Nuria , Felip Enriqueta , Garralda Elena , Garau Margarita , Gorgas Maria-Queralt , Monterde Josep , Tabernero Josep
Published: April 2024

The objective of this single-center retrospective study was to describe the clinical characteristics of adult patients with solid tumors enrolled in cancer clinical trials over a 10-year period (2010–2019) and to assess drug cost avoidance (DCA) associated with sponsors’ contributions. The sponsors’ contribution to pharmaceutical expenditure was calculated according to the actual price (for each year) of pharmaceutical specialties that the Vall d’Hebron University Hospital (HUVH) would have had to bear in the absence of sponsorship. A total of 2930 clinical trials were conducted with 10,488 participants. There were 140 trials in 2010 and 459 in 2019 (228% increase). Clinical trials of high complexity phase I and basket trials accounted for 34.3% of all trials. There has been a large variation in the pattern of clinical research over the study period, whereas, in 2010, targeted therapy accounted for 79.4% of expenditure and cytotoxic drugs for 20.6%; in 2019, immunotherapy accounted for 68.4%, targeted therapy for 24.4%, and cytotoxic drugs for only 7.1%. A total of four hundred twenty-one different antineoplastic agents were used, the variability of which increased from forty-seven agents in 2010, with only seven of them accounting for 92.8% of the overall pharmaceutical expenditure) to three hundred seventeen different antineoplastic agents in 2019, with thirty-three of them accounting for 90.6% of the overall expenditure. The overall expenditure on antineoplastic drugs in clinical care patients not included in clinical trials was EUR 120,396,096. The total cost of antineoplastic drugs supplied by sponsors in a clinical trial setting was EUR 107,306,084, with a potential DCA of EUR 92,662,609. Overall, clinical trials provide not only the best context for the progress of clinical research and healthcare but also create opportunities for reducing cancer care costs.
The Role of Ion Channels and Chemokines in Cancer Growth and Metastasis: A Proposed Mode of Action Using Peptides in Cancer Therapy
Authors: Mizejewski Gerald J.
Published: April 2024

Metastasis (Met) largely contributes to the major cause of cancer deaths throughout the world, rather than the growth of the tumor mass itself. The present report brings together several of the pertinent contributors to cancer growth and metastatic processes from an activity standpoint. Such biological activities include the following: (1) cell adherence and detachment; (2) cell-to-cell contact; (3) contact inhibition; (4) the cell interfacing with the extracellular matrix (ECM); (5) tumor cell-to-stroma communication networks; (6) chemotaxis; and (7) cell membrane potential. Moreover, additional biochemical factors that contribute to cancer growth and metastasis have been shown to comprise the following: (a) calcium levels in the extracellular matrix and in intracellular compartments; (b) cation voltage and ATP-regulated potassium channels; (c) selective and non-selective cation channels; and (d) chemokines (cytokines) and their receptors, such as CXCL12 (SDF-1) and its receptor/binding partner, CXCR4. These latter molecular components represent a promising group of an interacting and synchronized set of candidates ideal for peptide therapeutic targeting for cancer growth and metastasis. Such peptides can be obtained from naturally occurring proteins such as alpha-fetoprotein (AFP), an onco-fetal protein and clinical biomarker.
A Comparison of Unpiloted Aerial System Hardware and Software for Surveying Fine-Scale Oak Health in Oak–Pine Forests
Authors: Fraser Benjamin T. , Robinov Larissa , Davidson William , O’Connor Shea , Congalton Russell G.
Published: April 2024

Spongy moth (Lymantria dispar dispar) has caused considerable damage to oak trees across eastern deciduous forests. Forest management, post-outbreak, is resource intensive and typically focused on ecosystem restoration or resource loss mitigation. Some local forest managers and government partners are exploring developing technologies such as Unpiloted Aerial Systems (UASs, UAVs, or drones) to enhance their ability to gather reliable fine-scale information. However, with limited resources and the complexity of investing in hardware, software, and technical expertise, the decision to adopt UAS technologies has raised questions on their effectiveness. The objective of this study was to evaluate the abilities of two UAS surveying approaches for classifying the health of individual oak trees following a spongy moth outbreak. Combinations of two UAS multispectral sensors and two Structure from Motion (SfM)-based software are compared. The results indicate that the overall classification accuracy differed by as much as 3.8% between the hardware and software configurations. Additionally, the class-specific accuracy for ’Declining Oaks‘ differed by 5–10% (producer’s and user’s accuracies). The processing experience between open-source and commercial SfM software was also documented and demonstrated a 25-to-75-fold increase in processing duration. These results point out major considerations of time and software accessibility when selecting between hardware and software options for fine-scale forest mapping. Based on these findings, future stakeholders can decide between cost, practicality, technical complexity, and effectiveness.
Non-Native Plants Influence Forest Vegetative Structure and the Activity of Eastern Temperate Insectivorous Bats
Authors: Mark Morgan , Drake Evan , Kerwin Kathleen , Maslo Brooke
Published: April 2024

Temperate insectivorous bats value high prey abundance and appropriate vegetative structure when selecting foraging habitats. Forests, particularly in the eastern United States, provide prime foraging habitats for bats but can be heavily impacted by non-native plants, which may alter arthropod diversity and abundance, as well as vegetative structure. To investigate the associations between non-native plants and insect abundance, vegetative structure, and, consequently, bat activity, we performed vegetation surveys, insect trapping, and acoustic monitoring at 23 forested plots in northern New Jersey, USA. We predicted that non-native vegetation would either positively influence bat activity by increasing structural openness (thus, facilitating flight) or negatively influence bat activity by lowering the abundance of putative prey. We also hypothesized that vegetative characteristics, and therefore non-native vegetation, impact bats differently depending on their foraging habitat preferences. The percent of non-native cover of the ground and midstory vegetative layers of our study plots ranged from 0 to 92.92% (x¯ = 46.94 ± 5.77 SE) and was significantly correlated with structural vegetative characteristics, such as midstory clutter (β = 0.01 ± 0.006 SE), but not putative prey abundance (β = −0.81 ± 2.57 SE). Generalized linear models with only vegetative characteristics best predicted overall bat activity and foraging, which were greatest in areas with a high percent non-native vegetation and low midstory clutter. Although percent non-native vegetation and midstory clutter were also significant effects for bats that prefer to forage in open areas, neither vegetative characteristics nor prey abundance were significant effects for clutter-loving bats. Such findings suggest that vegetative structure is more important than prey availability for predicting overall insectivorous bat activity, but other factors, such as foraging strategy and life history traits, can impact how bat guilds respond to non-native vegetation. Therefore, more research is required to reveal additional mechanisms by which non-native plants impact bats.
Early Detection and Monitoring of Gastrointestinal Infections Using Syndromic Surveillance: A Systematic Review
Authors: Adedire Olubusola , Love Nicola K. , Hughes Helen E. , Buchan Iain , Vivancos Roberto , Elliot Alex J.
Published: April 2024

The underreporting of laboratory-reported cases of community-based gastrointestinal (GI) infections poses a challenge for epidemiologists understanding the burden and seasonal patterns of GI pathogens. Syndromic surveillance has the potential to overcome the limitations of laboratory reporting through real-time data and more representative population coverage. This systematic review summarizes the utility of syndromic surveillance for early detection and surveillance of GI infections. Relevant articles were identified using the following keyword combinations: ‘early warning’, ‘detection’, ‘gastrointestinal activity’, ‘gastrointestinal infections’, ‘syndrome monitoring’, ‘real-time monitoring’, ‘syndromic surveillance’. In total, 1820 studies were identified, 126 duplicates were removed, and 1694 studies were reviewed. Data extraction focused on studies reporting the routine use and effectiveness of syndromic surveillance for GI infections using relevant GI symptoms. Eligible studies (n = 29) were included in the narrative synthesis. Syndromic surveillance for GI infections has been implemented and validated for routine use in ten countries, with emergency department attendances being the most common source. Evidence suggests that syndromic surveillance can be effective in the early detection and routine monitoring of GI infections; however, 24% of the included studies did not provide conclusive findings. Further investigation is necessary to comprehensively understand the strengths and limitations associated with each type of syndromic surveillance system.
Personalized Approach to Olfactory Neuroblastoma Care
Authors: Lerner David K. , Palmer James N.
Published: April 2024

Olfactory neuroblastoma (ONB) is an uncommon neuroendocrine malignancy arising from the olfactory neuroepithelium. ONB frequently presents with nonspecific sinonasal complaints, including nasal obstruction and epistaxis, and diagnosis can be obtained through a combination of physical examination, nasal endoscopy, and computed tomography and magnetic resonance imaging. Endoscopic resection with negative margins, with or without craniotomy, as necessary, is the standard of care for definitive treatment of ONB. Regional metastasis to the neck is often detected at presentation or may occur in a delayed fashion and should be addressed through elective neck dissection or radiation. Adjuvant radiotherapy should be considered, particularly in the case of high grade or tumor stage, as well as positive surgical margins. Systemic therapy is an area of active investigation in both the neoadjuvant and adjuvant setting, with many advocating in favor of induction chemotherapy for significant orbital or intracranial involvement prior to surgical resection. Various targeted immunotherapies are currently being studied for the treatment of recurrent or metastatic ONB. Prolonged locoregional and distant surveillance are indicated following definitive treatment, given the tendency for delayed recurrence and metastasis.
Stock Overvaluation, Management Myopia, and Long-Term Firm Performance
Authors: Song Jialin , Wang Luyu , Wu Sihong , Su Yiyi
Published: April 2024

How does stock overvaluation in secondary financial markets affect long-term firm performance when significant corporate “insiders” seek to realize self-benefit? Using a sample of Chinese listed companies from 2007 to 2018, we find that overvaluation of stock price has a negative impact on long-term firm performance. Moreover, our results show that management myopia mediates the relationship between stock overevaluation and long-term performance. Our study enriches the discussion of stock overvaluation and extends the management myopia literature by considering unique aspects of the irrational behavior of firm decision makers, providing implications for governments to improve their capital market reform and development.
3,3’-(4,11-Bis(4-(trifluoromethyl)benzyl)-1,4,8,11-Tetraazacyclotetradecane-1,8-diyl)dipropanenitrile
Authors: Nunes Inês M. , Silva Elisabete R. , Alves Luis G.
Published: April 2024

The cyclam derivative (NCCH2CH2)2(4-CF3PhCH2)2Cyclam was prepared by the reaction of H2(4-CF3PhCH2)2Cyclam with acrylonitrile in methanol. The compound was fully characterized by elemental analysis, mass spectrometry as well as IR and NMR spectroscopy. Crystals of (NCCH2CH2)2(4-CF3PhCH2)2Cyclam suitable for single-crystal X-ray diffraction were obtained by the slow evaporation of a chloroform solution of the compound. The establishment of non-classical hydrogen bonds and unusual nitrile–nitrile and π(CN)…π interactions determined the solid-state supramolecular architecture of (NCCH2CH2)2(4-CF3PhCH2)2Cyclam.
Sustainable and Environmentally Friendly Microwave Synthesis of Nano-Hydroxyapatite from Decarbonized Eggshells
Authors: Mahmoud Morsi M.
Published: April 2024

The sustainable microwave (MW) synthesis of hydroxyapatite (HAp) from decarbonized eggshells was investigated. Decarbonization of eggshells, as a natural source of calcium carbonate (CaCO3), was carried out in the current study at ambient conditions to reduce the footprint of CO2 emissions on our environment where either calcination or acidic direct treatments of eggshells produce CO2 emissions, which is a major cause for global warming. Eggshell decarbonization was carried out via the chemical reaction with sodium hydroxide (NaOH) alkaline solution in order to convert eggshell waste into calcium hydroxide (Ca(OH)2) and simultaneously store CO2 as a sodium carbonate (Na2CO3) by-product which is an essential material in many industrial sectors. The produced Ca(OH)2 was mixed with ammonium dihydrogen phosphate (NH4H2PO4) reagent at pH~11 before being subjected to MW irradiation at 2.45 GHz frequency for 5 min using 800 Watts to prepare HAp. The prepared Nano-HAp was characterized using X-ray diffraction (XRD) where the crystal size was ~28 nm using the Scherrer equation. The elongated rod-like nano-HAp crystals were characterized using scanning electron microscopy (SEM) equipped with dispersive energy X-ray spectroscopy (EDS), Fourier transform infrared spectroscopy (FTIR), and transmission electron microscopy (TEM). MW synthesis of decarbonized eggshells is considered as a sustainable and environmentally friendly route to produce promising bioceramics such as nano-HAp. Concurrently, decarbonization of eggshells offers the ability to store CO2 as a high value-added Na2CO3 material.
Impact of Composition Ratio on the Expansion Behavior of Polyurethane Grout
Authors: Li Xiaolong , Peng Cen , Ao Yanna , Hao Meimei , Zhong Yanhui , Zhang Bei
Published: April 2024

Different formulations of foaming polyurethane grout offer controlled expansion rates. This is crucial for precision in filling voids without exerting excessive pressure on surrounding structures, which could potentially cause damage. This study focuses on the impact of composition on the expansion performance of tailor-made polyurethane grouting materials. Initially, multiple unknown chemical reaction kinetic parameters were identified by combining free expansion tests, which involved measuring density and temperature changes, with the particle swarm optimization algorithm. A numerical simulation, integrating chemical kinetic models and fluid flow equations, was established to replicate the free expansion process of polyurethane grout in a cup, aligning with our experimental results. Subsequently, we analyzed the polymerization process of polyurethane grout with varying compositions to determine the effect of composition ratios on grout expansion. Our findings reveal that the expansion ratio of foaming polyurethane is predominantly influenced by the concentrations of physical and chemical foaming agents, followed by isocyanate concentration. Polyol, in contrast, exerts a relatively minor influence. Furthermore, the solubility of the physical foaming agent in the grout determines both its maximum allowable concentration and its maximum contribution to volume increase. This study provides valuable insights for the design and selection of polyurethane grout components tailored to diverse applications.
Multifunctional Hybrid Material for Endoprosthetic Implants Based on Alumina-Toughened Zirconia Ceramics and Additively Manufactured TiNbTa Alloys
Authors: Sass Jan-Oliver , Henke Paul , Mitrovic Aurica , Weinmann Markus , Kluess Daniel , Johannsen Jan , Sellin Marie-Luise , Lembke Ulrich , Reimer Daniel , Lork Cornelia , Jonitz-Heincke Anika , Bader Rainer
Published: April 2024

Aseptic implant loosening after a total joint replacement is partially influenced by material-specific factors when cobalt–chromium alloys are used, including osteolysis induced by wear and corrosion products and stress shielding. Here, we aim to characterize a hybrid material consisting of alumina-toughened zirconia (ATZ) ceramics and additively manufactured Ti-35Nb-6Ta (TiNbTa) alloys, which are joined by a glass solder. The structure of the joint, the static and fatigue shear strength, the influence of accelerated aging, and the cytotoxicity with human osteoblasts are characterized. Furthermore, the biomechanical properties of the functional demonstrators of a femoral component for total knee replacements are evaluated. The TiNbTa-ATZ specimens showed a homogenous joint with statistically distributed micro-pores and a slight accumulation of Al-rich compounds at the glass solder–TiNbTa interface. Shear strengths of 26.4 ± 4.2 MPa and 38.2 ± 14.4 MPa were achieved for the TiNbTa-ATZ and Ti-ATZ specimens, respectively, and they were not significantly affected by the titanium material used, nor by accelerated aging (p = 0.07). All of the specimens survived 107 cycles of shear loading to 10 MPa. Furthermore, the TiNbTa-ATZ did not impair the proliferation and metabolic activity of the human osteoblasts. Functional demonstrators made of TiNbTa-ATZ provided a maximum bearable extension–flexion moment of 40.7 ± 2.2 Nm. The biomechanical and biological properties of TiNbTa-ATZ demonstrate potential applications for endoprosthetic implants.
Microstructure Evolution, Hot Deformation Behavior and Processing Maps of an FeCrAl Alloy
Authors: Fang Xiang-Qian , Wang Jin-Bin , Liu Si-You , Wen Jun-Zhe , Song Hong-Yu , Liu Hai-Tao
Published: April 2024

The deteriorated plasticity arising from the insoluble precipitates may lead to cracks during the rolling of FeCrAl alloys. The microstructure evolution and hot deformation behavior of an FeCrAl alloy were investigated in the temperature range of 750–1200 °C and strain rate range of 0.01–10 s−1. The flow stress of the FeCrAl alloy decreased with an increasing deformation temperature and decreased strain rate during hot working. The thermal deformation activation energy was determined to be 329.49 kJ/mol based on the compression test. Then, the optimal hot working range was given based on the established hot processing maps. The hot processing map revealed four small instability zones. The optimal working range for the material was identified as follows: at a true strain of 0.69, the deformation temperature should be 1050–1200 °C, and the strain rate should be 0.01–0.4 s−1. The observation of key samples of thermally simulated compression showed that discontinuous dynamic recrystallization started to occur with the temperate above 1000 °C, leading to bended grain boundaries. When the temperature was increased to 1150 °C, the dynamic recrystallization resulted in a microstructure composed of fine and equiaxed grains.