bluuebunny/crossref_metadata_2025 huggingface dataset:
Pre- and Post-Pandemic Religiosity and Mental Health Outcomes: A Prospective Study
Authors: Svob Connie , Murphy Eleanor , Wickramaratne Priya J. , Gameroff Marc J. , Talati Ardesheer , van Dijk Milenna T. , Yangchen Tenzin , Weissman Myrna M.
Published: May 2023

Relatively few studies have prospectively examined the effects of known protective factors, such as religion, on pandemic-related outcomes. The aim of this study was to evaluate the pre- and post-pandemic trajectories and psychological effects of religious beliefs and religious attendance. Male and female adults (N = 189) reported their beliefs in religious importance (RI) and their religious attendance (RA) both before (T1) and after (T2) the pandemic’s onset. Descriptive and regression analyses were used to track RI and RA from T1 to T2 and to test their effects on psychological outcomes at T1 and T2. The participants who reported a decrease in religious importance and attendance were greater in number than those who reported an increase, with RI (36.5% vs. 5.3%) and RA (34.4% vs. 4.8%). The individuals with decreased RI were less likely to know someone who had died from COVID-19 (O.R. =0.4, p = 0.027). The T1 RI predicted overall social adjustment (p < 0.05) and lower suicidal ideation (p = 0.05). The T2 RI was associated with lower suicidal ideation (p < 0.05). The online RA (T2) was associated with lower depression (p < 0.05) and lower anxiety (p < 0.05). Further research is needed to evaluate the mechanisms driving decreases in religiosity during pandemics. Religious beliefs and online religious attendance were beneficial during the pandemic, which bodes well for the use of telemedicine in therapeutic approaches.
The Health Literacy of First Year Physiotherapy and Speech Pathology Students and Their Perceived Future Roles in Supporting Their Clients’ Health Literacy
Authors: Martin Romany , Cartwright Jade , Bird Marie-Louise
Published: May 2023

Background: Allied health professionals are well positioned to assess and support their clients’ health literacy (HL); however, they report being deficient in HL knowledge and skills. Objective: To explore allied health students’ HL and their perceptions of their roles in supporting clients’ HL. Design: A mixed-methods cross-sectional study was undertaken in August 2022 amongst allied health students enrolled in graduate-entry masters programs at the University of Tasmania. Data collected included the Health Literacy Questionnaire (HLQ) (n = 30) and qualitative telephone interviews (n = 6). Results: Allied health students’ confidence in the knowledge domain of the HLQ was rated as 28.57 from a maximum possible score of 50. Similarly, the students’ confidence in the skills domain of the HLQ was rated as 14.87 from a maximum possible score of 25. Four themes were generated from the qualitative interviews: (1) valuing HL, (2) an innate part of their future roles, (3) contributors to their own HL, and (4) advocacy and their decision to study allied health. Conclusion: This study provides a preliminary insight into the HL of allied health students and highlights the strong perception held by allied health students that supporting clients’ HL is a large component of their future roles.
Exploring Crowd Travel Demands Based on the Characteristics of Spatiotemporal Interaction between Urban Functional Zones
Authors: Peng Ju , Liu Huimin , Tang Jianbo , Peng Cheng , Yang Xuexi , Deng Min , Xu Yiyuan
Published: May 2023

As a hot research topic in urban geography, spatiotemporal interaction analysis has been used to detect the hotspot mobility patterns of crowds and urban structures based on the origin-destination (OD) flow data, which provide useful information for urban planning and traffic management applications. However, existing methods mainly focus on the detection of explicit spatial interaction patterns (such as spatial flow clusters) in OD flow data, with less attention to the discovery of underlying crowd travel demands. Therefore, this paper proposes a framework to discover the crowd travel demands by associating the dynamic spatiotemporal interaction patterns and the contextual semantic features of the geographical environment. With urban functional zones (UFZs) as the basic units of human mobility in urban spaces, this paper gives a case study in Wuhan, China, to detect and interpret the human mobility patterns based on the characteristics of spatiotemporal interaction between UFZs. Firstly, we build the spatiotemporal interaction matrix based on the OD flows of different UFZs and analyze the characteristics of the interaction matrix. Then, hotspot poles, defined as the local areas where people gather significantly, are extracted using the Gi-statistic-based spatial hotspot detection algorithm. Next, we develop a frequent interaction pattern mining method to detect the frequent interaction patterns of the hotspot poles. Finally, based on the detected frequent interaction patterns, we discover the travel demands of crowds with semantic features of corresponding urban functional zones. The characteristics of crowd travel distance and travel time are further discussed. Experiments with floating car data, road networks, and POIs in Wuhan were conducted, and results show that the underlying travel demands can be better discovered and interpreted by the proposed framework and methods in this paper. This study helps to understand the characteristics of human movement and can provide support for applications such as urban planning and facility optimization.
Empagliflozin Ameliorates Bleomycin-Induced Pulmonary Fibrosis in Rats by Modulating Sesn2/AMPK/Nrf2 Signaling and Targeting Ferroptosis and Autophagy
Authors: El-Horany Hemat El-Sayed , Atef Marwa Mohamed , Abdel Ghafar Muhammad Tarek , Fouda Mohamed. H. , Nasef Nahla Anas , Hegab Islam Ibrahim , Helal Duaa S. , Elseady Walaa , Hafez Yasser Mostafa , Hagag Rasha Youssef , Seleem Monira Abdelmoaty , Saleh Mai Mahmoud , Radwan Doaa A. , Abd El-Lateef Amal Ezzat , Abd-Ellatif Rania Nagi
Published: May 2023

Pulmonary fibrosis (PF) is a life-threatening disorder that severely disrupts normal lung architecture and function, resulting in severe respiratory failure and death. It has no definite treatment. Empagliflozin (EMPA), a sodium-glucose cotransporter 2 (SGLT2) inhibitor, has protective potential in PF. However, the mechanisms underlying these effects require further elucidation. Therefore, this study aimed to evaluate the ameliorative effect of EMPA against bleomycin (BLM)-induced PF and the potential mechanisms. Twenty-four male Wister rats were randomly divided into four groups: control, BLM treated, EMPA treated, and EMPA+BLM treated. EMPA significantly improved the histopathological injuries illustrated by both hematoxylin and eosin and Masson’s trichrome-stained lung tissue sections, as confirmed by electron microscopic examination. It significantly reduced the lung index, hydroxyproline content, and transforming growth factor β1 levels in the BLM rat model. It had an anti-inflammatory effect, as evidenced by a decrease in the inflammatory cytokines’ tumor necrosis factor alpha and high mobility group box 1, inflammatory cell infiltration into the bronchoalveolar lavage fluid, and the CD68 immunoreaction. Furthermore, EMPA mitigated oxidative stress, DNA fragmentation, ferroptosis, and endoplasmic reticulum stress, as evidenced by the up-regulation of nuclear factor erythroid 2-related factor expression, heme oxygenase-1 activity, glutathione peroxidase 4 levels, and a decrease in C/EBP homologous protein levels. This protective potential could be explained on the basis of autophagy induction via up-regulating lung sestrin2 expression and the LC3 II immunoreaction observed in this study. Our findings indicated that EMPA protected against BLM-induced PF-associated cellular stress by enhancing autophagy and modulating sestrin2/adenosine monophosphate-activated protein kinase/nuclear factor erythroid 2-related factor 2/heme oxygenase 1 signaling.
Irradiance Non-Uniformity in LED Light Simulators
Authors: Naskari Vasiliki , Doumenis Gregory , Masklavanos Ioannis
Published: May 2023

Photovoltaic (PV) cells are a technology of choice for providing power to self-sufficient Internet of Things (IoT) devices. These devices’ declining power demands can now be met even in indoor environments with low light intensity. Correspondingly, light simulation systems need to cover a wide spectrum of irradiance intensity to emulate a PV cell’s working conditions while meeting cost targets. In this paper, we propose a method for calculating the irradiance distribution for a given number and position of LED sources to meet irradiance and uniformity requirements in LED-based light simulators. In addition, we establish design guidelines for minimizing non-uniformity under specific constraints and utilize a function to evaluate the degree of non-uniformity and determine the optimal distance from the illuminated surface. We demonstrate that even with a small number of low-cost LED sources, high levels of irradiance can be achieved with bounded non-uniformities. The presented guidelines serve as a resource for designing tailored, low-cost light simulators that meet users’ area/intensity/uniformity specifications.
Federated Blockchain Learning at the Edge
Authors: Calo James , Lo Benny
Published: May 2023

Machine learning, particularly using neural networks, is now widely adopted in practice even with the IoT paradigm; however, training neural networks at the edge, on IoT devices, remains elusive, mainly due to computational requirements. Furthermore, effective training requires large quantities of data and privacy concerns restrict accessible data. Therefore, in this paper, we propose a method leveraging a blockchain and federated learning to train neural networks at the edge effectively bypassing these issues and providing additional benefits such as distributing training across multiple devices. Federated learning trains networks without storing any data and aggregates multiple networks, trained on unique data, forming a global network via a centralized server. By leveraging the decentralized nature of a blockchain, this centralized server is replaced by a P2P network, removing the need for a trusted centralized server and enabling the learning process to be distributed across participating devices. Our results show that networks trained in such a manner have negligible differences in accuracy compared to traditionally trained networks on IoT devices and are less prone to overfitting. We conclude that not only is this a viable alternative to traditional paradigms but is an improvement that contains a wealth of benefits in an ecosystem such as a hospital.
Potential Source and Transmission Pathway of Gut Bacteria in the Diamondback Moth, Plutella xylostella
Authors: Han Shuncai , Ai Qianqian , Xia Xiaofeng
Published: May 2023

Plutella xylostella (L.), commonly known as the diamondback moth, is currently a major worldwide pest. Gut bacteria play an important role in the physiology and insecticide resistance of P. xylostella, but little is known about the sources and transmission routes of its gut bacteria. In this study, traditional microbial culture methods were used to analyze the sources and transmission modes of gut bacteria in P. xylostella, which could help develop pest control strategies based on gut bacteria. The main findings are as follows: gut bacterial diversity was significantly higher in P. xylostella-fed radish sprouts than those fed an artificial diet, indicating a potential association between gut bacteria and food bacteria. In addition, sequence analysis revealed the isolation of Enterobacter sp., Pantoea sp., Cedecea sp., and Pseudomonas sp. from both radish sprouts and P. xylostella. Importantly, Enterobacter sp. was found in all tested samples (radish sprouts, gut of P. xylostella, ovaries, and eggs), suggesting that bacteria acquired from food could be transferred from the gut to the ovaries and eggs. This was confirmed through experiments, which also showed that eggs could carry bacteria and transmit them to the gut, indicating vertical transmission of gut bacteria via eggs. Furthermore, the 3rd instar larvae of P. xylostella with and without gut bacteria were mixed and raised until the 4th instar. Then, we found that all the gut of the 4th instar larvae carried the same bacteria, indicating that the gut bacteria of P. xylostella can be horizontally transmitted through social behavior. This study lays a foundation for further exploration of the sources, transmission, and coevolution of the host of gut bacteria in P. xylostella, and provides new insights into pest control strategies based on the source and transmission of gut bacteria.
MELD-Na Alterations on the Liver Transplant Waiting List and Their Impact on Listing Outcome
Authors: Silberhumer Gerd R. , Györi Georg , Brugger Jonas , Baumann Lukas , Zehetmayer Sonja , Soliman Thomas , Berlakovich Gabriela
Published: May 2023

Background: Dynamic MELD deterioration (Delta MELD) during waiting time was shown to have significant impact on post-transplant survival. The aim of this study was to analyze the impact of MELD-Na score alterations on waiting list outcomes in liver transplant candidates. Method: 36,806 patients listed at UNOS for liver transplantation in 2011–2015 were analyzed according to their delisting reasons. Several different MELD-Na alterations during waiting time were analyzed (e.g., maximal change, last change before delisting/transplantation). Outcome estimates were calculated according to MELD-Na scores at listing and Delta MELD. Results: Patients who died while on the waiting list showed a significantly higher deterioration in MELD-Na during the waiting time (6.8 ± 8.4 points) than stable patients who remained actively listed (−0.1 ± 5.2 points; p < 0.01). Patients who were considered too healthy for transplantation improved by more than 3 points on average during the waiting time. The mean peak MELD-Na alteration during the waiting time was 10.0 ± 7.6 for patients who died on the waiting list, compared to 6.6 ± 6.1 in the group of patients who finally underwent transplantation. Conclusions: Deterioration of MELD-Na during waiting time and maximal MELD-Na deterioration have a significant negative impact on the liver transplant waiting list outcome.
Assessment of Self-Reported Executive Function in Patients with Irritable Bowel Syndrome Using a Machine-Learning Framework
Authors: Lundervold Astri J. , Hillestad Eline M. R. , Lied Gülen Arslan , Billing Julie , Johnsen Tina E. , Steinsvik Elisabeth K. , Hausken Trygve , Berentsen Birgitte , Lundervold Arvid
Published: May 2023

Introduction: Irritable bowel syndrome (IBS) is characterized as a disorder of the gut–brain interaction (DGBI). Here, we explored the presence of problems related to executive function (EF) in patients with IBS and tested the relative importance of cognitive features involved in EF. Methods: A total of 44 patients with IBS and 22 healthy controls (HCs) completed the Behavior Rating Inventory of Executive Function (BRIEF-A), used to identify nine EF features. The PyCaret 3.0 machine-learning library in Python was used to explore the data, generate a robust model to classify patients with IBS versus HCs and identify the relative importance of the EF features in this model. The robustness of the model was evaluated by training the model on a subset of data and testing it on the unseen, hold-out dataset. Results: The explorative analysis showed that patients with IBS reported significantly more severe EF problems than the HC group on measures of working memory function, initiation, cognitive flexibility and emotional control. Impairment at a level in need of clinical attention was found in up to 40% on some of these scales. When the nine EF features were used as input to a collection of different binary classifiers, the Extreme Gradient Boosting algorithm (XGBoost) showed superior performance. The working memory subscale was consistently selected with the strongest importance in this model, followed by planning and emotional control. The goodness of the machine-learning model was confirmed in an unseen dataset by correctly classifying 85% of the IBS patients. Conclusions: The results showed the presence of EF-related problems in patients with IBS, with a substantial impact of problems related to working memory function. These results suggest that EF should be part of an assessment procedure when a patient presents other symptoms of IBS and that working memory function should be considered a target when treating patients with the disorder. Further studies should include measures of EF as part of the symptom cluster characterizing patients with IBS and other DGBIs.
Endoleak Detection after Endovascular Aortic Repair via Coded-Excitation Ultrasound—A Feasibility Study
Authors: Hofmann Amun , Klosz Fabian , Mlekusch Irene , Wickenhauser Georg , Walter Corinna , Assadian Afshin , Taher Fadi
Published: May 2023

Endoleaks are the most common complication after endovascular aortic repair (EVAR). Their correct identification is one of the main objectives of surveillance protocols after EVAR. So far, computed tomography angiography (CTA), contrast-enhanced (CEUS) and Duplex ultrasound (DUS), as well as magnetic resonance angiography, have been investigated for their ability to detect endoleaks. In general, all technologies have distinct benefits and disadvantages, with CTA and CEUS emerging as the reference standard for surveillance after EVAR. However, they are both contrast-enhancer-dependent, and CTA additionally exposes patients to ionizing radiation. In the present study, we investigated B-Flow, a type of coded-excitation ultrasound that was specifically designed to optimize the visualization of blood flow, for its ability to detect endoleaks, and compared its performance to CEUS, CTA, and DUS. In total, 34 patients were included in the analysis that accumulated in 43 distinct B-Flow investigations. They underwent a total of 132 imaging investigations. Agreement between B-Flow and other imaging modalities was high (>80.0%), while inter-method reliability can be interpreted as good. However, with B-Flow, six and one endoleaks would have been missed compared to CEUS and CTA, respectively. Regarding endoleak classification, all metrics were lower but retained an adequate level of comparison. In a subset of patients requiring intervention, B-Flow had 100% accuracy regarding both endoleak detection and classification. Ultrasonography enables endoleak detection and classification without the need for pharmaceutical contrast enhancement or radiation. Ultrasound coded-excitation imaging in the application of B-Flow could further simplify surveillance after EVAR by offering adequate accuracy without requiring intravenous contrast enhancement. Our findings may promote subsequent investigations of coded-excitation imaging for endoleak detection and classification in the surveillance after EVAR.
Assessment of Circulating lncRNA H19 in Ankylosing Spondylitis Patients and Its Correlation with Disease Activity
Authors: Esawy Marwa M. , Ebaid Amany M. , Abd-elhameed Amir , Thagfan Felwa A. , Mubaraki Murad A. , Alazzouni Ahmed S. , Dkhil Mohamed A. , Shabana Marwa A.
Published: May 2023

Ankylosing spondylitis (AS) is a chronic inflammatory disease that results in severe pain and stiffness in the joints. The causes and pathophysiology of AS are still largely unknown. The lncRNA H19 plays key roles in the pathogenesis of AS by mediating inflammatory progression by acting in the axis of IL-17A/IL-23. The aims of this study were determining the role of lncRNA H19 in AS and assessing its clinical correlation. A case–control study was conducted and qRT-PCR was utilized to measure H19 expression. Comparing AS cases to healthy controls, it was found that H19 expression was significantly upregulated. For AS prediction, H19 demonstrated a 81.1% sensitivity, 100% specificity, and 90.6% diagnostic accuracy at a lncRNA H19 expression value of 1.41. lncRNA H19 had a significantly positive correlation with AS activity, MRI results, and inflammatory markers. lncRNA H19 seemed to be an independent predictor of AS (adjusted OR of 211 (95% CI: 4.7–939; p = 0.025)). After 3 months of clinical follow-up, seventeen patients (32.1%) showed minimal clinical improvement and fifteen patients (28.3%) showed major improvement. AS activity scores were significantly decreased in patients with high H19 expression. A significantly elevated lncRNA H19 expression was observed in AS cases compared with that in healthy controls. These results suggest that upregulation of lncRNA H19 expression may be involved in the pathogenesis of AS. The expression of the lncRNA H19 is related to the duration and activity of the disease. LncRNA H19 expression seems to be an independent predictor of AS.
A Gel-Based Proteomic Analysis Reveals Synovial α-Enolase and Fibrinogen β-Chain Dysregulation in Knee Osteoarthritis: A Controlled Trial
Authors: Rocchetti Maria Teresa , Bizzoca Davide , Moretti Lorenzo , Ragni Enrico , Moretti Francesco Luca , Vicenti Giovanni , Solarino Giuseppe , Rizzello Alessandro , Petruzzella Vittoria , Palese Luigi Leonardo , Scacco Salvatore , Banfi Giuseppe , Moretti Biagio , Gnoni Antonio
Published: May 2023

Background: The identification of synovial fluid (SF) biomarkers that could anticipate the diagnosis of osteoarthritis (OA) is gaining increasing importance in orthopaedic clinical practice. This controlled trial aims to assess the differences between the SF proteome of patients affected by severe OA undergoing Total Knee Replacement (TKR) compared to control subjects (i.e., subjects younger than 35, undergoing knee arthroscopy for acute meniscus injury). Methods: The synovial samples were collected from patients with Kellgren Lawrence grade 3 and 4 knee osteoarthritis undergoing THR (study group) and young patients with meniscal tears and no OA signs undergoing arthroscopic surgery (control group). The samples were processed and analyzed following the protocol defined in our previous study. All of the patients underwent clinical evaluation using the International Knee Documentation Committee (IKDC) subjective knee evaluation (main outcome), Knee Society Clinical Rating System (KSS), Knee injury and Osteoarthritis Outcome Score (KOOS), and Visual Analogue Scale (VAS) for pain. The drugs’ assumptions and comorbidities were recorded. All patients underwent preoperative serial blood tests, including complete blood count and C-Reactive Protein (CRP). Results: The synovial samples’ analysis showed a significantly different fibrinogen beta chain (FBG) and alpha-enolase 1 (ENO1) concentration in OA compared to the control samples. A significant correlation between clinical scores, FBG, and ENO1 concentration was observed in osteoarthritic patients. Conclusions: Synovial fluid FBG and ENO1 concentrations are significantly different in patients affected by knee OA compared with non-OA subjects.
Irritable Bowel Syndrome Is an Independent Risk Factor for Developing Opioid Use Disorder in Patients with Inflammatory Bowel Disease
Authors: Fu Yuhan , Kurin Michael , Landsman Marc , Fass Ronnie , Song Gengqing
Published: May 2023

Background: Symptoms of IBS can fluctuate even when IBD is in clinical remission. Patients with IBD are at an increased risk of developing opioid addiction. The aim of the study was to determine whether IBS is an independent risk factor for developing opioid addiction and related gastrointestinal symptoms in patients with IBD. Methods: We identified patients with Crohn’s disease (CD)+IBS and ulcerative colitis (UC) + IBS using TriNetX. The control groups consisted of patients with CD or UC alone without IBS. The main outcome was to compare the risks of receiving oral opioids and developing opioid addiction. A subgroup analysis was performed by selecting patients who were prescribed oral opioids and to compare with those not prescribed opioids. Gastrointestinal symptoms and mortality rates were compared in the cohorts. Results: Patients with concomitant IBD and IBS were more likely to be prescribed oral opioids (24.6% vs. 17.2% for CD; 20.2% vs. 12.3% for UC, p < 0.0001) and develop opioid dependence or abuse (p < 0.05). The subset of patients who were prescribed opioids are more likely to develop gastroesophageal reflux disease, ileus, constipation, nausea, and vomiting (p < 0.05). Conclusions: IBS is an independent risk factor for IBD patients to receive opioids and develop opioid addiction.
Reduced Vessel Density and Enlarged Foveal Avascular Zone in the Macula as a Result of Systemic Hypoxia Caused by SARS-CoV-2 Infection
Authors: Kal Magdalena , Płatkowska-Adamska Bernadetta , Zarębska-Michaluk Dorota , Rzymski Piotr
Published: May 2023

Infection with SARS-CoV-2 can lead to various long-term consequences, including those of an ophthalmic nature. This paper reviews the results of optical coherence tomography angiography (OCTA) performed among COVID-19 patients. The review included papers evaluating short- and long-term outcomes following the SARS-CoV-2 infection. Some differentiated the obtained retinal and choroidal vascularization parameters according to gender. Following COVID-19, patients reveal changes in retinal and choroidal vascular parameters based on OCTA, such as reduced vascular density and an increased foveal avascular zone, which can persist for several months. Routine ophthalmic follow-up with OCTA should be considered in patients after SARS-CoV-2 infection to assess the effects of inflammation and systemic hypoxia in COVID-19. Further research is needed to understand whether infection with particular viral variants/subvariants may vary in the risk of effects on retinal and choroidal vascularization and whether and to what extent these risks may also differ in relation to reinfected and vaccinated individuals.
The Association between Blood SIRT1 and Ghrelin, Leptin, and Antibody Anti-Hypothalamus: A Comparison in Normal Weight and Anorexia Nervosa
Authors: Amerio Andrea , Escelsior Andrea , Martino Eleonora , Strangio Antonella , Aguglia Andrea , Marcatili Matteo , Conio Benedetta , Sukkar Samir Giuseppe , Saverino Daniele
Published: May 2023

Sirtuin 1 (SIRT1) is a sensor of cell energy availability, regulating metabolic homeostasis as well as leptin and ghrelin, and it could be considered as a potential plasmatic marker. The aim of this study was to assess whether circulating SIRT1 varies consistently with leptin, ghrelin, body mass index (BMI), and IgG reactive to hypothalamic antigens in anorexia nervosa (AN). Fifty-four subjects were evaluated: 32 with AN and 22 normal-weight control subjects. Serum levels of SIRT1, leptin, ghrelin, and IgG reactive to hypothalamic antigens were evaluated by ELISA. Results showed that serum SIRT1 is increased in patients with AN, and the amount is decreased in relation to the duration of the illness. SIRT1 concentration approaches the values obtained for the control group, although the difference is still statistically significant. A negative correlation between serum SIRT1 values and leptin or BMI values has been found. On the contrary, a positive correlation between SIRT1 and ghrelin or IgG specific for hypothalamic antigens is reported. These findings suggest that a peripheral evaluation of SIRT1 could be a possible clinical/biochemical parameter related to AN. In addition, we can assume that SIRT1 is related to autoantibody production and may correlate with the intensity/severity of AN. Thus, reducing the production of autoantibodies specific for hypothalamic cells could be a sign of improvement of the clinical condition.
Clinician Perspectives on Clinical Decision Support for Familial Hypercholesterolemia
Authors: Bangash Hana , Elsekaily Omar , Saadatagah Seyedmohammad , Sutton Joseph , Johnsen Paul , Gundelach Justin H. , Kamzabek Arailym , Freimuth Robert , Caraballo Pedro J. , Kullo Iftikhar J.
Published: May 2023

Familial Hypercholesterolemia (FH) is underdiagnosed in the United States. Clinical decision support (CDS) could increase FH detection once implemented in clinical workflows. We deployed CDS for FH at an academic medical center and sought clinician insights using an implementation survey. In November 2020, the FH CDS was deployed in the electronic health record at all Mayo Clinic sites in two formats: a best practice advisory (BPA) and an in-basket alert. Over three months, 104 clinicians participated in the survey (response rate 11.1%). Most clinicians (81%) agreed that CDS implementation was a good option for identifying FH patients; 78% recognized the importance of implementing the tool in practice, and 72% agreed it would improve early diagnosis of FH. In comparing the two alert formats, clinicians found the in-basket alert more acceptable (p = 0.036) and more feasible (p = 0.042) than the BPA. Overall, clinicians favored implementing the FH CDS in clinical practice and provided feedback that led to iterative refinement of the tool. Such a tool can potentially increase FH detection and optimize patient management.
Spatio-Temporal Patterns of Livestock Predation by Leopards in Bardia National Park, Nepal
Authors: Dhakal Sandhya , Rimal Simant , Paudel Prashant , Shrestha Anil
Published: May 2023

Human–wildlife conflict is a challenging issue that requires the attention of conservationists worldwide. Habitat fragmentation and encroachment reduce the abundance of prey species, and an increase in the number of predators leads to a higher risk of conflict with large cats such as leopards, jeopardizing conservation efforts. This study explored the spatio-temporal pattern of the human–leopard conflict in Bardia National Park, Nepal, from 2000 to 2020. To analyze the conflict with leopards, we used data (compensation cases filed in the park) from the buffer zone management office, the National Trust for Nature Conservation (NTNC), and the Department of National Park and Wildlife Conservation (DNPWC). Leopard attacks on livestock are increasing exponentially, with 3335 livestock killed in 2652 attacks occurring during the study period. Although livestock depredation by leopards occurred all over the park, the southern cluster has most documented livestock damage (64.01%). The eastern and northern clusters reported fluctuating and dispersed predation events, respectively. Our spatial analysis indicated no effect of topography (slope) on livestock depredation by leopards. We recorded the highest number of leopard attacks and predation during the dry winter season when the nights are longer and livestock remain in their sheds. This carnivore mostly limited its prey to small-sized livestock (95.77%) such as goats, sheep, and pigs, whereas attacks on large-sized (cow and buffalo) livestock were least frequent. Among small-sized livestock, goats are the most predated (66.92%), followed by pigs (20.30%), in all seasons. The escalating human–leopard conflict in BNP is thus a severe threat to conservation efforts as the park has already invested a substantial amount of money (approx. USD 80,000) compensating for livestock lost in leopard attacks over the last two decades. Improving habitat conditions to reduce competition inside the park, developing an insurance scheme for livestock and humans, providing support for upgraded sheds, and the development of practical and feasible strategies that focus on specific animals and clusters of the national park are needed to reduce conflicts to maintain the co-existence between wildlife and human beings.
Transcranial Focal Electric Stimulation Avoids P-Glycoprotein Over-Expression during Electrical Amygdala Kindling and Delays Epileptogenesis in Rats
Authors: Fonseca-Barriendos Daniel , Castañeda-Cabral José Luis , Martínez-Cuevas Frida , Besio Walter , Valdés-Cruz Alejandro , Rocha Luisa
Published: May 2023

Recent evidence suggests that P-glycoprotein (P-gp) overexpression mediates hyperexcitability and is associated with epileptogenesis. Transcranial focal electrical stimulation (TFS) delays epileptogenesis and inhibits P-gp overexpression after a generalized seizure. Here, first we measured P-gp expression during epileptogenesis and second, we assessed if TFS antiepileptogenic effect was related with P-gp overexpression avoidance. Male Wistar rats were implanted in right basolateral amygdala and stimulated daily for electrical amygdala kindling (EAK), P-gp expression was assessed during epileptogenesis in relevant brain areas. Stage I group showed 85% increase in P-gp in ipsilateral hippocampus (p < 0.001). Stage III group presented 58% and 57% increase in P-gp in both hippocampi (p < 0.05). Kindled group had 92% and 90% increase in P-gp in both hippocampi (p < 0.01), and 93% and 143% increase in both neocortices (p < 0.01). For the second experiment, TFS was administrated daily after each EAK stimulation for 20 days and P-gp concentration was assessed. No changes were found in the TFS group (p > 0.05). Kindled group showed 132% and 138% increase in P-gp in both hippocampi (p < 0.001) and 51% and 92% increase in both cortices (p < 0.001). Kindled + TFS group presented no changes (p > 0.05). Our experiments revealed that progression of EAK is associated with increased P-gp expression. These changes are structure-specific and dependent on seizure severity. EAK-induced P-gp overexpression would be associated with neuronal hyperexcitability and thus, epileptogenesis. P-gp could be a novel therapeutical target to avoid epileptogenesis. In accordance with this, TFS inhibited P-gp overexpression and interfered with EAK. An important limitation of the present study is that P-gp neuronal expression was not evaluated under the different experimental conditions. Future studies should be carried out to determine P-gp neuronal overexpression in hyperexcitable networks during epileptogenesis. The TFS-induced lessening of P-gp overexpression could be a novel therapeutical strategy to avoid epileptogenesis in high-risk patients.
Profiling of Differentially Expressed MicroRNAs in Human Umbilical Vein Endothelial Cells Exposed to Hyperglycemia via RNA Sequencing
Authors: Othman Nur Syakirah , Aminuddin Amilia , Zainal Abidin Shahidee , Syafruddin Saiful Effendi , Ahmad Mohd Faizal , Mohd Mokhtar Norfilza , Kumar Jaya , Hamid Adila A. , Ugusman Azizah
Published: May 2023

Hyperglycemia is the hallmark of diabetes mellitus that results in oxidative stress, apoptosis, and diabetic vascular endothelial dysfunction. An increasing number of microRNAs (miRNAs) have been found to be involved in the pathogenesis of diabetic vascular complications. However, there is a limited number of studies that characterize the miRNA profile of endothelial cells exposed to hyperglycemia. Therefore, this study aims to analyze the miRNA profile of human umbilical-vein endothelial cells (HUVECs) exposed to hyperglycemia. HUVECs were divided into two groups: the control (treated with 5.5 mM glucose) and hyperglycemia (treated with 33.3 mM glucose) groups. RNA sequencing identified 17 differentially expressed miRNAs between the groups (p < 0.05). Of these, 4 miRNAs were upregulated, and 13 miRNAs were downregulated. Two of the most differentially expressed miRNAs (novel miR-1133 and miR-1225) were successfully validated with stem-loop qPCR. Collectively, the findings show that there is a differential expression pattern of miRNAs in HUVEC following exposure to hyperglycemia. These 17 differentially expressed miRNAs are involved in regulating cellular functions and pathways related to oxidative stress and apoptosis that may contribute to diabetic vascular endothelial dysfunction. The findings provide new clues on the role of miRNAs in the development of diabetic vascular endothelial dysfunction, which could be useful in future targeted therapy.
Degradation Effects of Base Oils after Thermal and Electrical Aging for EV Thermal Fluid Applications
Authors: Tormos Bernardo , Bermúdez Vicente , Ruiz Santiago , Alvis-Sanchez Jorge
Published: May 2023

This study presents the experimental results of the effects on base oils after thermal and electrical aging to determine key parameters of next-generation fluids for thermal management in electric vehicles. The test fluids selected were a mineral base oil API G-III, an API G-IV Polyalphaolefin (PAO), a diester, and a polyolester, all of which had similar kinematic viscosity (KV100 = 4 cSt). All were initially characterized with measurements of density, viscosity, thermal conductivity, specific heat capacity, breakdown voltage, resistivity, and dissipation factor. They underwent two separate aging processes, one thermal, heating the test fluid at 150 °C for 120 h with a copper strip as a catalyst; and the second one an electrical aging process, with the application of 1000 breakdown voltage discharges. The same properties were measured again after each aging process and compared to the initial ones. It was found that the thermal properties ranged with similar values and did not suffer major changes after the aging processes, unlike electrical properties, which vary between samples and after thermal and electrical stress. The insights gained from this study have implications for both the development of next-generation e-thermal fluids and the future standardization of these fluids for EV thermal management applications. The findings of this study underscore the significance of formulating and selecting a suitable dielectric fluid for EV thermal management. By leveraging the insights provided, researchers and engineers can advance in the development of efficient and reliable e-thermal fluids while working towards future standardization to enhance the performance and safety of EV battery systems.
Synthesis and Spectroscopic Characterization of Furan-2-Carbaldehyde-d
Authors: Jaster Jonas , Dressler Elias , Geitner Robert , Groß Gregor Alexander
Published: May 2023

Here, we present a protocol for the one-step synthesis of the title compound in quantitative yield using adapted Vilsmeier conditions. The product was characterized by 1H-,2H-,13C-NMR-, as well as IR and Raman spectroscopy. Spectral data are given in detail.
Prevalence of Self-Reported Hand Eczema Signs among Healthcare Workers after the Third Wave of COVID-19 Pandemic: A Survey in a Northern Italy Hospital
Authors: Veronese Federica , Esposto Elia , Airoldi Chiara , Gramaglia Carla , Zeppegno Patrizia , Zavattaro Elisa , Savoia Paola
Published: May 2023

Background: Proper hand hygiene is one of the enhanced preventive measures immediately proposed to avoid the spreading of the severe acute respiratory syndrome coronavirus-2, also known as COVID-19. Objectives: The objective of this study was to estimate the prevalence of self-reported hand eczema signs and symptoms among healthcare workers in a Northern Italy University Hospital after the third wave of the COVID-19 pandemic. Materials and methods: A cross-sectional study was conducted in June 2021. The hospital workers were invited to complete an online questionnaire through a link sent via institutional e-mail to both health personnel and support staff. Results: Eight-hundred and sixty-three subjects completed the questionnaire; 51.1% of them self-reported suffering from at least one hand skin lesion. One-hundred thirty-seven responders declared that they changed their hand hygiene habits, and 88.9% of them carried out these modifications both in occupational and domestic environments. In detail, a change in terms of daily hand washing frequency is reported as follows: before the COVID-19 pandemic, only 27.8% and 10.1% of responders washed their hands 10–20 and 20+ times per day, respectively, while after the pandemic, the percentage increased to 37.8% and 45.8%, respectively. When comparing the health care workers with the administrative staff, we observed a statistically significative difference (p = 0.0001) in the daily hand washing frequency among the two groups, with a higher value in health care personnel. Accordingly, a higher prevalence of hand eczema signs (52.8% versus 45.6%) was detected in the healthcare group. Conclusions: We underline the potential role of the pandemic in the spread of hand eczema as an occupational disease and the need to implement its prevention.
Cation Exchange Membranes and Process Optimizations in Electrodialysis for Selective Metal Separation: A Review
Authors: Tekinalp Önder , Zimmermann Pauline , Holdcroft Steven , Burheim Odne Stokke , Deng Liyuan
Published: May 2023

The selective separation of metal species from various sources is highly desirable in applications such as hydrometallurgy, water treatment, and energy production but also challenging. Monovalent cation exchange membranes (CEMs) show a great potential to selectively separate one metal ion over others of the same or different valences from various effluents in electrodialysis. Selectivity among metal cations is influenced by both the inherent properties of membranes and the design and operating conditions of the electrodialysis process. The research progress and recent advances in membrane development and the implication of the electrodialysis systems on counter-ion selectivity are extensively reviewed in this work, focusing on both structure–property relationships of CEM materials and influences of process conditions and mass transport characteristics of target ions. Key membrane properties, such as charge density, water uptake, and polymer morphology, and strategies for enhancing ion selectivity are discussed. The implications of the boundary layer at the membrane surface are elucidated, where differences in the mass transport of ions at interfaces can be exploited to manipulate the transport ratio of competing counter-ions. Based on the progress, possible future R&D directions are also proposed.
Dendritic Solidification and Physical Properties of Co-4.54%Sn Alloy with Broad Mushy Zone
Authors: Wang Weili , Li Wenhui , Wang Ao
Published: May 2023

The high undercooling of binary Co-4.54%Sn alloy has a significant influence on its microstructural characteristics and physical properties. Here, we report that the dendritic growth and physical properties of broad-temperature-range Co-4.54%Sn alloy remarkably depends on the undercooling during the rapid solidification. The maximum undercooling attains 208 K at molten state, and the dendritic growth velocity is quite sluggish in highly undercooled liquid Co-4.54%Sn alloy because it has a broad solidification range of 375 K (0.21 TL); the maximum value is only 0.95 m/s at the undercooling of 175 K, which then decreases with undercooling. The microstructure refines visibly and the volume fraction of the interdendritic βCo3Sn2 phase obviously decreases with undercooling. The microhardness and electrical resistivity increase with undercooling owing to the enhancement of solute content of the primary αCo phase and refinement of the microstructure where the increased crystal boundary hinders the electronic transmission. Meanwhile, the saturation magnetization also reduces with undercooling due to the crystal particle and boundary increasing significantly, and the dendritic growth velocity and solute content increase in the primary αCo phase under rapid solidification.
Effect of Brazing Temperature on Microstructure, Tensile Strength, and Oxide Film-Breaking Synergy of 5A06 Aluminum Alloy Welded by TG-TLP
Authors: Chen Yi , Liu Qiang , Xia Peiyun , Lin Tiesong , Zhang Chengcong , Zhou Nengtao , Huang Yongde
Published: May 2023

5A06 aluminum alloy bar was brazed by temperature gradient transient liquid phase diffusion welding (TG-TLP). The effects of brazing temperature on the microstructure and the tensile strength of the brazing joints were investigated. Three typical brazing filler alloys (1# Al-20Cu-6Si-2Ni, 2# Al-10Cu-10Si-3Mg-1Ga, and 3# Al-6Cu-10Si-2Mg-10Zn) were prepared by smelting, and TG-TLP diffusion bonding was carried out at different brazing temperatures (550 °C~590 °C). The results show that with the increase in brazing temperature, the oxide films at the brazing junction are easier to be broken and dispersed, but the oxidation extent will also increase. The oxidation products enriched were mainly Al2O3 and SiO2 at the brazing junction. There are different optimal brazing temperatures corresponding to the different filler alloys. For 1#, the optimal temperature is 570 °C; for 2# is 580 °C; for 3# is 580 °C. For 1# brazing joints, the maximum tensile strength was 113 MPa, and for 2# was 122.4 MPa. Under the experimental conditions of this study, the maximum tensile strength of the TG-TLP joint is 147.4 MPa of 3# brazing sample (at 580 °C), which has increased by 30% and 20% compared to 1# and 2# respectively. The nickel-rich phase at the interface (of 1# brazing filler) could form a brittle fracture, which was unfavorable for interface bonding. For TG-TLP brazing of 5A06, the filler alloy with high Al:Cu ratio (12:1 wt.%) needs a sufficient temperature gradient to exert the film-breaking effect, while the filler alloy with low Al:Cu ratio (3.6:1 wt.%) needs to accurately control its brazing temperature to avoid excessive oxidation. There are many research gaps in the influence of brazing material composition and brazing temperature on the microstructure and mechanical properties of 5A06 aluminum alloy TG-TLP joints. The research results can provide a theoretical basis for formulating the TG-TLP brazing specification of 5A06 aluminum alloy.
Effect of Thiourea on Lead Release from Lead-Bearing Jarosite under Freeze–Thaw Cycling
Authors: Peng Jun , Liu Hui , Shen Yujun , He Luhua , Wei Yangjin , Yan Xu
Published: May 2023

Lead is a toxic factor in jarosite residue, and it is important to study its release behavior from simulated lead jarosite residue (LSJ) to predict the stability of the jarosite residue and its impact on the environment. This study investigated the ion release behavior, leaching toxicity, stability, and ion migration of LSJ during freeze–thaw cycling with thiourea (T-FTC). The release of lead, iron, and sulfate radicals from lead jarosite via T-FTC was influenced by several factors. Under specific conditions, the amount of lead released was 6.09 mM/L, which accounted for 38.3% of the total lead. After the T-FTC treatment, the residual lead increased, and the leaching toxicity and long-term stable equilibrium concentration of lead were reduced to 42.1 mg/L and 12.4 mg/L, respectively, which decreased by 82% and 84%, respectively and led to improved environmental stability. This study provides a novel approach for the safe disposal of jarosite residue under low-temperature and mild conditions, and the results can be used to predict the stability of jarosite residue and its secondary pollution in the environment.
A Spectrum of Age- and Gender-Dependent Lower Urinary Tract Phenotypes in Three Mouse Models of Type 2 Diabetes
Authors: MacIver Bryce , Bien Erica M. , de Oliveira Mariana G. , Hill Warren G.
Published: May 2023

Lower urinary tract symptoms are extremely common in people with diabetes and obesity, but the causes are unclear. Furthermore, it has proven difficult to reliably demonstrate bladder dysfunction in diabetic mouse models, thus limiting the ability to gain mechanistic insights. Therefore, the main objective of this experimental study was to characterize diabetic bladder dysfunction in three promising polygenic mouse models of type 2 diabetes. We performed periodic assessments of glucose tolerance and micturition (void spot assay) for eight to twelve months. Males and females and high-fat diets were tested. NONcNZO10/LtJ mice did not develop bladder dysfunction over twelve months. TALLYHO/JngJ males were severely hyperglycemic from two months of age (fasted blood glucose ~550 mg/dL), while females were moderately so. Although males exhibited polyuria, neither they nor the females exhibited bladder dysfunction over nine months. KK.Cg-Ay/J males and females were extremely glucose intolerant. Males exhibited polyuria, a significant increase in voiding frequency at four months (compensation), followed by a rapid drop in voiding frequency by six months (decompensation) which was accompanied by a dramatic increase in urine leakage, indicating loss of outlet control. At eight months, male bladders were dilated. Females also developed polyuria but compensated with larger voids. We conclude KK.Cg-Ay/J male mice recapitulate key symptoms noted in patients and are the best model of the three to study diabetic bladder dysfunction.