bluuebunny/crossref_metadata_2025 huggingface dataset:
Potential of Arabica Coffee Beans from Northern Thailand: Exploring Antidiabetic Metabolites through Liquid Chromatography with Tandem Mass Spectrometry (LC-MS/MS) Metabolomic Profiling across Diverse Postharvest Processing Techniques
Authors: Tantapakul Cholpisut , Krobthong Sucheewin , Jakkaew Prasara , Sittisaree Wattanapong , Aonbangkhen Chanat , Yingchutrakul Yodying
Published: October 2023

Coffee, a widely consumed beverage worldwide, undergoes postharvest methods that influence its physicochemical characteristics, while roasting modulates its composition, affecting sensory attributes. This study investigates the impact of distinct postharvest methods (washed and natural) on the antidiabetic activities, including α-amylase and DPP4, as well as the phytochemical profiling of geological indicator (GI) coffee beans (Coffea arabica L.). The results indicate notable differences in antidiabetic activity and phytochemical profiles between washed and natural processing methods. Coffee beans processed naturally exhibit significant suppression of DPP4 and α-amylase activities (p-value < 0.01) compared to beans processed using the washed technique. TLC profiling using the ratios of the solvent systems of ethyl acetate/dichloromethane (DCM) and acetone/DCM as separation solvents reveals dominant spots for the washed technique. LC-MS/MS-based untargeted metabolomics analysis using principle component analysis (PCA) clearly segregates samples processed by the natural and washed techniques without any overlap region. A total of 1114 phytochemicals, including amino acids and short peptides, are annotated. The natural processing of coffee beans has been shown to yield a slightly higher content of chlorogenic acid (CGA) compared to the washed processing method. Our findings highlight the distinct bioactivities and phytochemical compositions of GI coffee beans processed using different techniques. This information can guide consumers in choosing coffee processing methods that offer potential benefits in terms of alternative treatment for diabetes.
Expression of Ice Nucleation Protein in Bacillus amyloliquefaciens and Its Application in Food Freezing Process
Authors: Song Rong , Jiang Cong , Zhu Jing , Liu Jia , Zhang Li , Zuo Jingnan , Zheng Wei , Liu Shilin , Huang Qingrong , Wei Xuetuan , Chen Yijie
Published: October 2023

To produce food-grade ice nucleators, a 3.77 kb ice nucleation gene (iceE) isolated from Pantoea agglomerans (Erwinia herbicola) was introduced into the Gram-positive microorganism Bacillus amyloliquefaciens for the first time. The differential scanning calorimetry (DSC) results indicated that recombined strain B9-INP was an effective ice nucleator for controlling the supercooling point of distilled water at low concentrations. In the presence of B9-INP cells, model food systems, including sucrose solution and sodium chloride solution, different pH solutions froze at a relatively high subzero temperature, thus increasing the supercooling point by 5.8~16.7 °C. Moreover, B9-INP also facilitated model and real food systems to freeze at −6 °C. This recombinant strain not only improved the freezing temperature of food systems but also shortened the total freezing time, thus saving energy and reducing consumption. The results suggest that B9-INP has great application potential in the frozen food industry.
Mitochondria, a Key Target in Amyotrophic Lateral Sclerosis Pathogenesis
Authors: Genin Emmanuelle C. , Abou-Ali Mélanie , Paquis-Flucklinger Véronique
Published: October 2023

Mitochondrial dysfunction occurs in numerous neurodegenerative diseases, particularly amyotrophic lateral sclerosis (ALS), where it contributes to motor neuron (MN) death. Of all the factors involved in ALS, mitochondria have been considered as a major player, as secondary mitochondrial dysfunction has been found in various models and patients. Abnormal mitochondrial morphology, defects in mitochondrial dynamics, altered activities of respiratory chain enzymes and increased production of reactive oxygen species have been described. Moreover, the identification of CHCHD10 variants in ALS patients was the first genetic evidence that a mitochondrial defect may be a primary cause of MN damage and directly links mitochondrial dysfunction to the pathogenesis of ALS. In this review, we focus on the role of mitochondria in ALS and highlight the pathogenic variants of ALS genes associated with impaired mitochondrial functions. The multiple pathways demonstrated in ALS pathogenesis suggest that all converge to a common endpoint leading to MN loss. This may explain the disappointing results obtained with treatments targeting a single pathological process. Fighting against mitochondrial dysfunction appears to be a promising avenue for developing combined therapies in the future.
Identification of Differentially Expressed Genes after Endurance Runs in Karbadian Horses to Determine Candidates for Stress Indicators and Performance Capability
Authors: Reißmann Monika , Rajavel Abirami , Kokov Zaur A. , Schmitt Armin O.
Published: October 2023

RNA sequencing makes it possible to uncover genetic mechanisms that underlie certain performance traits. In order to gain a deeper insight into the genetic background and biological processes involved in endurance performance in horses, the changes in the gene expression profiles induced by endurance runs over long (70 km) and short (15 km) distances in the blood of Kabardian horses (Equus caballus) were analyzed. For the long-distance runs, we identified 1484 up- and 691 downregulated genes, while after short-distance runs, only 13 up- and 8 downregulated genes (FC > |1.5|; p < 0.05) were found. These differentially expressed genes (DEGs) are involved in processes and pathways that are primarily related to stress response (interleukin production, activation of inflammatory system) but also to metabolism (carbohydrate catabolic process, lipid biosynthesis, NADP metabolic process). The most important genes involved in these processes therefore represent good candidates for the monitoring and evaluation of the performance of horses in order to avoid excessive demands when endurance performance is required, like ACOD1, CCL5, CD40LG, FOS, IL1R2, IL20RA, and IL22RA2, on the one hand, and, on the other hand, for assessing the suitability of a horse for endurance races, like GATA2, GYG1, HIF1A, MOGAT1, PFKFB3, PLIN5, SIK1, and STBD1.
Amplification Failure of the Amelogenin X Gene Caused by a Rare Mutation in the Primer-Binding Region
Authors: Chang Miwha , Jung Jong Keun , Park Ji Hwan , Jung Ju Yeon , Lee Won-Hae , Kim Joo-Young
Published: October 2023

The study of gender markers is essential in forensic genetic analysis. Mutations in the X or Y homologs of the amelogenin gene can be misleading, resulting in serious mistakes in forensic genetic analysis. We recently discovered two male cases of the X homolog of the amelogenin (AMELX) allelic dropout while analyzing short tandem repeat genotypes obtained from crime scene evidence. Subsequently, we evaluated the molecular characteristics of AMELX allelic dropout in this study. We used two previously reported amelogenin primers to verify a half level of amelogenin gene amplification intensity in the two male cases, which we confirmed was caused by AMELX allelic dropout. We then characterized the point mutation using Sanger sequencing and designed mutation-specific primers that could overcome AMELX allelic dropout. Short tandem repeat genotyping analysis confirmed that the AMELX allelic dropout was recovered by the mutation-specific primer designed specifically for this case. The sequencing of the AMELX allele revealed a single-point variant from A→G at base position 7 downstream from the 3′ end in the amelogenin forward primer-binding region. This point mutation was identically found in two different male cases, resulting in AMELX allelic dropout. To our knowledge, these mutations and the X homolog amplification failure of amelogenin have not been reported in the Korean population. Our study provides a reliable approach to AMELX allelic dropout due to rare case mutations and could enable the better interpretation of gender markers for forensic samples.
Does Subjective Well-Being Improve Self-Rated Health from Undergraduate Studies to Three Years after Graduation in China?
Authors: Liu Xinqiao , Zhang Yifan , Luo Yunfeng
Published: October 2023

The health status of emerging adults is at risk. Although subjective well-being is one of the factors closely associated with health, their longitudinal relationship is not clear among emerging adults. The study aimed to investigate the prospective relationship between self-rated health and subjective well-being in emerging adults. The study collected longitudinal data from a total of 1021 Chinese college students (537 males and 484 females) for five years, including two years in college and three years after graduation. In the baseline survey, the average age of the sample was 21.57 years old. Descriptive statistics indicated that both self-rated health and subjective well-being significantly decreased from the senior year of college to the year after graduation. Correlation analysis revealed that self-rated health and subjective well-being had a significant positive relationship. In the five-wave random intercept cross-lagged panel model, subjective well-being unidirectionally predicted self-rated health. In other words, the subjective well-being in the previous year could positively predict self-rated health in the following year, but the previous self-rated health could not predict subsequent subjective well-being. Given the significance of emerging adulthood to individual development, more attention and care should be dedicated to improving subjective well-being so as to maintain good health and engagement in work.
Fusion’s Location and Quality within the Fixated Segment Following Transforaminal Interbody Fusion (TLIF)
Authors: Essa Ahmad , Shehade Munder , Rabau Oded , Smorgick Yossi , Mirovsky Yigal , Anekstein Yoram
Published: October 2023

Transforaminal interbody fusion (TLIF) has gained increased popularity over recent decades and is being employed as an established surgical treatment for several lumbar spine pathologies, including degenerative spondylosis, spondylolisthesis, infection, tumor and some cases of recurrent disc herniation. Despite the seemingly acceptable fusion rates after TLIF (up to 94%), the literature is still limited regarding the specific location and quality of fusion inside the fixated segment. In this single-institution, retrospective population-based study, we evaluated all post-operative computed tomography (CT) of patients who underwent TLIF surgery at a medium-sized medical center between 2010 and 2020. All CT studies were performed at a minimum of 1 year following the surgery, with a median of 2 years. Each CT study was evaluated for post-operative fusion, specifically in the posterolateral and intervertebral body areas. The fusion’s quality was determined and classified in each area according to Lee’s criteria, as follows: (1) definitive fusion: definitive bony trabecular bridging across the graft host interface; (2) probable fusion: no definitive bony trabecular crossing but with no gap at the graft host interface; (3) possible arthrosis: no bony trabecular crossing with identifiable gap at the graft host interface; (4) definite pseudarthrosis: no traversing trabecular bone with definitive gap. A total of 48 patients were included in this study. The median age was 55.6 years (SD ± 15.4). The median time from surgery to post-operative CT was 2 years (range: 1–10). Full definitive fusion in both posterolateral and intervertebral areas was observed in 48% of patients, and 92% showed definitive fusion in at least one area (either posterolateral or intervertebral body area). When comparing the posterolateral and the intervertebral area fusion rates, a significantly higher definitive fusion rate was observed in the posterolateral area as compared to the intervertebral body area in the long term follow-up (92% vs. 52%, p < 0.001). In the multivariable analysis, accounting for several confounding factors, including the number of fixated segments and cage size, the results remained statistically significant (p = 0.048). In conclusion, a significantly higher definitive fusion rate at the posterolateral area compared to the intervertebral body area following TLIF surgery was found. Surgeons are encouraged to employ bone augmentation material in the posterolateral area (as the primary site of fusion) when performing TLIF surgery.
The BRCA1 c.4096+1G>A Is a Founder Variant Which Originated in Ancient Times
Authors: Aretini Paolo , Presciuttini Silvano , Pastore Aldo , Galli Alvaro , Panepinto Sara , Tancredi Mariella , Ghilli Matteo , Guglielmi Chiara , Sidoti Diletta , Congregati Caterina , Caligo Maria Adelaide
Published: October 2023

Approximately 30–50% of hereditary breast and ovarian cancer (HBOC) is due to the presence of germline pathogenic variants in the BRCA1 (OMIM 113705) and BRCA2 (OMIM 600185) onco-suppressor genes, which are involved in DNA damage response. Women who carry pathogenic BRCA1 variants are particularly likely to develop breast cancer (BC) and ovarian cancer (OC), with a 45–79 percent and 39–48 percent chance, respectively. The BRCA1 c.4096+1G>A variant has been frequently ascertained in Tuscany, Italy, and it has also been detected in other Italian regions and other countries. Its pathogenetic status has been repeatedly changed from a variant of uncertain significance, to pathogenic, to likely pathogenic. In our study, 48 subjects (38 of whom are carriers) from 27 families were genotyped with the Illumina OncoArray Infinium platform (533,531 SNPs); a 20 Mb region (24.6 cM) around BRCA1, including 4130 SNPs (21 inside BRCA1) was selected for haplotype analysis. We used a phylogenetic method to estimate the time to the most recent common ancestor (MRCA) of BRCA1 c.4096+1G>A founder pathogenic variant. This analysis suggests that the MRCA lived about 155 generations ago—around 3000 years ago.
Structural and Photoluminescent Properties of a Novel Terbium Bis(thiocyanato)aurate, Tb[Au(SCN)2]3·6H2O
Authors: Taylor Jared D. , Sykora Richard E.
Published: October 2023

The reaction of Tb3+ ions with KAu(SCN)2 results in the formation of the crystalline coordination compound Tb[Au(SCN)2]3·6H2O. Single-crystal X-ray diffraction has been employed to investigate the structural features of this compound. The crystallographic data are as follows (Mo Kα, λ = 0.71073 Å): orthorhombic, Cmcm, a = 12.4907(9) Å, b = 8.5845(6) Å, c = 20.7498(8) Å, V = 3679.72(16) Å3, Z = 4, R1(I > 2(σ)) = 0.0232. This material represents the first known example of a lanthanide dithiocyanatoaurate compound. Au(SCN)2− anions bridge Tb3+ centers in a bidentate fashion to form the [Tb(H2O)4(Au(SCN)2)2]͚+ 1D chains present in the structure. Trimeric Au units in the structure contain short aurophilic bonding interactions with distances of 3.1066(4) Å. The more common O–H‧‧‧O and O–H‧‧‧N H-bonding interactions in the structure are overshadowed by relatively rare O–H‧‧‧S interactions involving the bis(thiocyanato)gold(I) anions. Photoluminescence measurements illustrate that Tb[Au(SCN)2]3·6H2O displays strong Tb3+-based emission, but there is a lack of Au-based emission down to 85 K. Excitation spectra are recorded for the title compound and these measurements demonstrate the presence of a donor–acceptor process within the compound, leading to enhanced Tb3+-based emission.
Stress-Mediated Abnormalities in Regional Myocardial Wall Motion in Young Women with a History of Psychological Trauma
Authors: Aweimer Assem , Engemann Luisa , Amar Sameh , Ewers Aydan , Afshari Faegheh , Maiß Clara , Kern Katharina , Lücke Thomas , Mügge Andreas , El-Battrawy Ibrahim , Dietrich Johannes W. , Brüne Martin
Published: October 2023

Background: Psychosocial stress has been associated with the development and progression of atherosclerotic cardiovascular disease (CVD). Previously, we reported subtle differences in global longitudinal strain in somatically healthy women with a psychiatric diagnosis of borderline personality disorder (BPD). This study aimed to investigate the impact of BPD on segmental myocardial wall motion using speckle tracking echocardiography (STE) analysis. Methods: A total of 100 women aged between 18 and 38 years were included in this study. Fifty patients meeting the diagnostic criteria for BPD were recruited from the Department of Psychiatry (LWL-University Hospital Bochum) and compared with fifty age-matched healthy control subjects without previous cardiac disease. Laboratory tests and STE were performed with segmental wall motion analysis. Results: The BPD group had a higher prevalence of risk factors for CVD, with smoking and obesity being predominant, when compared with the control group. Other cardiovascular parameters such as blood pressure, glucose, and cholesterol levels were also elevated, even though not to pathological values. Moreover, in the STE analysis, the BPD group consistently exhibited decreased deformation in nine myocardial wall regions compared with the control group, along with a shift toward higher values in the distribution of peak pathological segments. Additionally, significantly higher values of free thyroxine concentration and thyroid’s secretory capacity were observed in the BPD group, despite falling within the (high-) normal range. Conclusions: BPD is associated with chronic stress, classical risk factors, and myocardial wall motion abnormalities. Further exploration is warranted to investigate the relationship between high-normal thyroid metabolism, these risk factors, and myocardial function in BPD patients. Long-term follow-up studies would be valuable in confirming the potential for predicting adverse events.
Phenotypic Clustering of Beta-Thalassemia Intermedia Patients Using Cardiovascular Magnetic Resonance
Authors: Meloni Antonella , Parravano Michela , Pistoia Laura , Cossu Alberto , Grassedonio Emanuele , Renne Stefania , Fina Priscilla , Spasiano Anna , Salvo Alessandra , Bagnato Sergio , Gerardi Calogera , Borsellino Zelia , Cademartiri Filippo , Positano Vincenzo
Published: October 2023

We employed an unsupervised clustering method that integrated demographic, clinical, and cardiac magnetic resonance (CMR) data to identify distinct phenogroups (PGs) of patients with beta-thalassemia intermedia (β-TI). We considered 138 β-TI patients consecutively enrolled in the Myocardial Iron Overload in Thalassemia (MIOT) Network who underwent MR for the quantification of hepatic and cardiac iron overload (T2* technique), the assessment of biventricular size and function and atrial dimensions (cine images), and the detection of replacement myocardial fibrosis (late gadolinium enhancement technique). Three mutually exclusive phenogroups were identified based on unsupervised hierarchical clustering of principal components: PG1, women; PG2, patients with replacement myocardial fibrosis, increased biventricular volumes and masses, and lower left ventricular ejection fraction; and PG3, men without replacement myocardial fibrosis, but with increased biventricular volumes and masses and lower left ventricular ejection fraction. The hematochemical parameters and the hepatic and cardiac iron levels did not contribute to the PG definition. PG2 exhibited a significantly higher risk of future cardiovascular events (heart failure, arrhythmias, and pulmonary hypertension) than PG1 (hazard ratio-HR = 10.5; p = 0.027) and PG3 (HR = 9.0; p = 0.038). Clustering emerged as a useful tool for risk stratification in TI, enabling the identification of three phenogroups with distinct clinical and prognostic characteristics.
Aortic Valve Replacement in Adult Patients with Decellularized Homografts: A Single-Center Experience
Authors: Andreeva Alexandra , Coti Iuliana , Werner Paul , Scherzer Sabine , Kocher Alfred , Laufer Günther , Andreas Martin
Published: October 2023

Background: decellularized aortic homografts (DAH) represent a promising alternative for aortic valve replacement in young adults due to their low immunogenicity and thrombogenicity. Herein, we report our midterm, single-center experience in adult patients with non-frozen DAH from corlife. Methods: safety, durability, and hemodynamic performance were evaluated according to current guidelines in all consecutive patients who had received a DAH at our center since 03/2016. Results: seventy-three (mean age 47 ± 11 years, 68.4% (n = 50) male) patients were enrolled. The mean diameter of the implanted DAH was 24 ± 2 mm. Mean follow-up was 36 ± 27 months, with a maximum follow-up of 85 months and cumulative follow-up of 215 years. No cases of stenosis were observed, in four (5.5%) cases moderate aortic regurgitation occurred, but no reintervention was required. No cases of early mortality, non-structural dysfunction, reoperation, valve endocarditis, or thrombosis were observed. Freedom from bleeding and thromboembolic events was 100%; freedom from re-intervention was 100%; survival was 98.6% (n = 72). Conclusions: early and mid-term results showed low mortality and 100% freedom from reoperation, thromboembolic events, and bleeding at our center. However, in order for this novel approach to be established as a valid alternative to aortic valve replacement in young patients, long-term data are required.
Short Versus Long Antibiotic Therapy and Risk of Recurrence of Acute Cholangitis Due to Malignant Biliary Strictures
Authors: Ferstl Philip G. , Bremer Katharina , Filmann Natalie , Kempf Volkhard A. J. , Hogardt Michael , Ballo Olivier , Finkelmeier Fabian , Trebicka Jonel , Zeuzem Stefan , Bojunga Jörg , Friedrich-Rust Mireen , Walter Dirk
Published: October 2023

Malignancies can cause severe stenosis of the biliary tract and therefore predispose a patient to bacterial cholangitis. Upon endoscopic drainage, antibiotic therapy (AT) is performed according to individual clinical judgement, as the optimal duration of AT is unclear to date, especially in the case of multidrug-resistant organisms (MDROs). In a case-based retrospective study, patients with malignant biliary strictures and acute cholangitis were included upon endoscopic retrograde cholangiography (ERC). The outcome of cases treated with short AT (≤6 days) was compared to that of long AT (≥7 days). Recurrent cholangitis (RC) before scheduled stent exchange was the primary end point. In total, 124 patients were included, with 183 cases of proven cholangitis in total. The overall median duration of AT was 7 days (range 1–20), with 74 cases (40%) receiving short AT and 109 (60%) receiving long AT. Short AT was not an independent risk factor for RC (HR = 0.66, p > 0.2), while colonization with MDROs was associated with a higher risk of RC (HR = 2.21, p = 0.005). Placement of a metal stent was associated with minor risk of RC (HR = 0.4, p = 0.038). In conclusion, short AT is possible in selected patients with non-severe cholangitis and malignant biliary strictures. Scheduled screening for MDROs is recommended and placement of a metal stent should be performed if possible.
Primary Hyperparathyroidism and Cardiovascular Disease: An Association Study Using Clinical Natural Language Processing Systems and Big Data Analytics
Authors: Iglesias Pedro , Arias Javier , López Guillermo , Romero Iago , Díez Juan J.
Published: October 2023

Primary hyperparathyroidism (PHPT) seems to be associated with different cardiovascular diseases (CVDs). We evaluated the association of PHPT with major CV risk factors (CVRFs) and CVDs by using artificial intelligence (AI) tools. An observational and retrospective study was conducted using data from the electronic health records (EHRs) of the Hospital Universitario Puerta de Hierro Majadahonda (Spain). Of a total of 699,157 patients over 18 years of age studied (54.7% females), 6515 patients (0.9%; 65.4% women; mean age 67.6 ± 15.9 years) had a diagnosis of PHPT. The overall frequencies of hypertension, dyslipidemia, diabetes mellitus, and smoking habit in the cohort of patients with PTHP were all significantly (p < 0.001) higher than those found in patients without a diagnosis of PTHP. The total frequency of stroke, ischemic heart disease, atrial fibrillation, deep vein thrombosis, and pulmonary embolism in the cohort of PHPT patients were significantly (p < 0.001) higher than that found in patients without the diagnosis of PHPT. A multivariate regression analysis showed that PHPT was significantly (p < 0.001) and independently associated with all the CVDs evaluated. Our data show that there is a significant association between the diagnosis of PHPT and the main CVRFs and CVDs in our hospital population.
Diabetes-Related Microvascular Complications in Primary Health Care Settings in the West Bank, Palestine
Authors: Dweib Mohammad , El Sharif Nuha
Published: October 2023

Background: Worldwide, retinopathy, nephropathy, and neuropathy are the major diabetes-related microvascular complications. In Palestine, a low-middle-income country, diabetes is the fourth reason for death. However, a few studies examined diabetes microvascular consequences and its management. Therefore, we carried out a national study that aims to investigate the factors associated with diabetes-related microvascular complications among individuals seeking care in primary healthcare settings of the West Bank of Palestine. Method: Using a cluster systematic sampling technique, 882 participants with diabetes patients were chosen for a cross-sectional study from primary healthcare facilities operated by the Ministry of Health (PMoH), the United Nations Relief and Works Agency (UNRWA), and the Palestinian Medical Relief Society (PMRS). Data about patients related to diabetes-related complications, medication use, and other diseases were extracted from patients’ medical records. In addition, an interview face-to-face questionnaire was used to collect information about patients’ sociodemographic variables, medical history, smoking habits, duration of the disease, presence of concurrent conditions previous referrals, and hospital admissions, as well as their level of knowledge regarding diabetes, complications, and treatments. Results: Approximately 34.4% of persons with diabetes patients in Palestine encounter at least one microvascular complication associated with diabetes. The most prevalent diabetes-related microvascular complication was retinopathy (17.3%), 23.4% of participants had more than one microvascular complication, and 29% of male patients had erectile dysfunction. A higher probability of having any microvascular complications was associated with older age (over 60 years). Participants with diabetes patients with fundoscopy or ophthalmology reports, according to diabetes follow-up guidelines, were less likely to develop retinopathy. Also, those who performed regular kidney function testing were less likely to have nephropathy, and those who performed a regular foot exam were less likely to develop diabetic foot. Conclusions: Diabetes-related microvascular complications were associated with patient age, low education level, residency location, and adherence to diabetes follow-up guidelines of diabetes management; i.e., having been tested for HbA1c, consulting with specialists, regular kidney function, and foot examination. These factors can be utilized in setting up proper management protocols to prevent or delay microvascular complications in many patients.
GS Hip Nail versus Affixus Hip Fracture Nail for the Intramedullary Nailing of Intertrochanteric Fractures
Authors: Kwon Seungcheol , Lee Minjae , Lee Heeyeon , Hwang Jihyo
Published: October 2023

Background: Intertrochanteric fractures are a global health concern, especially in aging populations like the Republic of Korea. Surgical treatments like intramedullary nailing are preferred for their benefit. Various hip nails are used worldwide, each with unique features and challenges. This study aims to compare the GS hip nail with the Affixus hip fracture nail for the treatment of intertrochanteric fractures. Material and Methods: This retrospective study, conducted at a single center, included 179 patients who underwent intramedullary nailing for intertrochanteric fractures using the GS hip nail or the Affixus hip fracture nail. Excluding specific cases, 43 patients in the GS group and 46 in the Affixus group met the minimum 6-month follow-up criteria. Result: The GS group exhibited a significantly shorter mean operation time (43.26 min) compared to the Affixus group (51.11 min). Radiographically, both groups showed no significant differences in their reduction quality, tip, and apex distance (TAD), or Cleveland index in the immediate postoperative window. However, the GS group achieved a greater valgus reduction based on the contralateral femoral neck shaft angle (NSA). At 6 months post-operation, there were no significant differences in TAD or advancement and sliding distances. Complication rates were similar between the two groups, with no implant breakages. Clinical outcomes, as measured via mHHS and EQ-5D-5L, showed no significant differences. Despite a slightly higher implant cost, the GS group had a lower total hospital cost than the Affixus group, but this was not statistically significant. Conclusions: This study highlights the efficiency of the GS hip nail in reducing the operation time compared to the Affixus hip fracture nail with comparable radiologic and clinical outcomes. Further research with long-term follow-up and larger patient studies are needed to fully assess its effectiveness in improving patient outcomes in hip fracture treatment.
Third Eye? The Assistance of Artificial Intelligence (AI) in the Endoscopy of Gastrointestinal Neoplasms
Authors: Leśniewska Magdalena , Patryn Rafał , Kopystecka Agnieszka , Kozioł Ilona , Budzyńska Julia
Published: October 2023

Gastrointestinal cancers are characterized by high incidence and mortality. However, there are well-established methods of screening. The endoscopy exam provides the macroscopical image and enables harvesting the tissue samples for further histopathological diagnosis. The efficiency of endoscopies relies not only on proper patient preparation, but also on the skills of the personnel conducting the exam. In recent years, a number of reports concerning the application of artificial intelligence (AI) in medicine have arisen. Numerous studies aimed to assess the utility of deep learning/ neural network systems supporting endoscopies. In this review, we summarized the most recent reports and randomized clinical trials regarding the application of AI in screening and surveillance of gastrointestinal cancers among patients suffering from esophageal, gastric, and colorectal cancer, along with the advantages, limitations, and controversies of those novel solutions.
Chronic Functional Adaptations Induced by the Application of Transcranial Direct Current Stimulation Combined with Exercise Programs: A Systematic Review of Randomized Controlled Trials
Authors: Marcos-Frutos Daniel , López-Alonso Virginia , Mera-González Irene , Sánchez-Molina José Andrés , Colomer-Poveda David , Márquez Gonzalo
Published: October 2023

The present systematic review aimed to determine the chronic effects of the combination of transcranial direct current stimulation (tDCS) and exercise on motor function and performance outcomes. We performed a systematic literature review in the databases MEDLINE and Web of Science. Only randomized control trials that measured the chronic effect of combining exercise (comprising gross motor tasks) with tDCS during at least five sessions and measured any type of motor function or performance outcome were included. A total of 22 interventions met the inclusion criteria. Only outcomes related to motor function or performance were collected. Studies were divided into three groups: (a) healthy population (n = 4), (b) neurological disorder population (n = 14), and (c) musculoskeletal disorder population (n = 4). The studies exhibited considerable variability in terms of tDCS protocols, exercise programs, and outcome measures. Chronic use of tDCS in combination with strength training does not enhance motor function in healthy adults. In neurological disorders, the results suggest no additive effect if the exercise program includes the movements pretending to be improved (i.e., tested). However, although evidence is scarce, tDCS may enhance exercise-induced adaptations in musculoskeletal conditions characterized by pain as a limiting factor of motor function.
Implications of Reynolds Averaging for Reactive Tracers in Turbulent Flows
Authors: Legare Sierra , Stastna Marek
Published: October 2023

RANS simulations have been broadly used to investigate turbulence in the oceans and atmosphere. Within these environments there are a multitude of tracers undergoing reactions (e.g., phytoplankton growth, chemical reactions). The distribution of these reactive tracers is strongly influenced by turbulent mixing. With a 50 member ensemble of two-dimensional Rayleigh–Taylor-induced turbulent mixing, we show that the dynamics of a reactive tracer growing according to Fisher’s equation are poorly captured by the ensemble mean. A fluctuation-dependent sink introduced by Reynolds averaging Fisher’s equation transfers tracer concentration from the mean to the fluctuations. We compare the dynamics of the reactive tracer with those of a passive tracer. The reaction increases the reactive tracer’s concentration thereby increasing Fickian diffusion and allowing the reactive tracer to diffuse into turbulent structures that the passive tracer cannot reach. A positive feedback between turbulent mixing and fluctuation growth is identified. We show that eddy viscosity and diffusivity parameterizations fail to capture the bulk trends of the system and identify a need for negative eddy diffusivities. One must, therefore, be cautious when interpreting RANS results for reactive tracers.
An Investigation about Stability in Waves of Large Pleasure Yachts
Authors: Petacco Nicola , Ruggiero Valerio , Gualeni Paola
Published: October 2023

The IMO’s second-generation intact stability criteria (SGISc) have been applied to a set of seven megayacht units ranging from 40 m to 80 m. The application aims to evaluate their stability performance in a seaway. The assessment is based on two vulnerability levels, and the related criteria rely on the physics of the phenomena under investigation (dead ship condition, excessive acceleration, parametric rolling, pure loss of stability, and surf-riding). At the same time, SGISc provide methodological approaches to consider possible operational limitations related to the geographical area the vessel is meant to sail. Results of the comprehensive analysis carried out for the selected megayacht units are presented in term of limiting KG curves. Outcomes pointed out that inconsistencies among vulnerability levels still exist. Further comments about the relation of the investigated vessel typology and relevant operational profile have been reported. In addition, systematic analysis of the effect of the main design parameter on ship rules compliance has been carried out.
Molecular Systematics and Taxonomic Analyses of Three New Wood-Inhabiting Fungi of Hyphoderma (Hyphodermataceae, Basidiomycota)
Authors: Yang Yang , Jiang Qianquan , Li Qi , Yang Jiawei , Cha Li , Cheng Lijun , Yang Shunqiang , Zhao Changlin , Zhou Hongmin
Published: October 2023

In this present study, three new wood-inhabiting fungal taxa, Hyphoderma niveomarginatum, H. sordidum and H. weishanense, are proposed. Hyphoderma niveomarginatum is characterized by the ceraceous basidiomata having a smooth, cracking hymenial surface and the presence of the moniliform cystidia and ellipsoid basidiospores (7–9 × 3.5–5 µm). Hyphoderma sordidum is characterized by its resupinate basidiomata with a smooth hymenial surface with the fimbriate margin, the presence of the tubular cystidia and ellipsoid basidiospores (3–4.5 × 2–3 µm). Hyphoderma weishanense differs in its membranous basidiomata with a slightly buff to buff hymenial surface and the presence of broadly ellipsoid basidiospores (4.5–8.5 × 4–7 µm). Sequences of ITS+nLSU+mt-SSU+RPB1+RPB2 genes were used for the phylogenetic analyses using three methods. The ITS+nLSU+mt-SSU+RPB1+RPB2 analysis of the genus Hyphoderma indicated that the 3 new species of Hyphoderma were nested into genus Hyphoderma, in which H. niveomarginatum formed a single group and then grouped with H. membranaceum and H. sinense; H. sordidum was a sister to H. nudicephalum; and H. weishanense closely grouped with H. crystallinum.
Dynamic Correlations and Disorder in the Masticatory Musculature Network
Authors: Campi Gaetano , Ricci Alessandro , Costa Nicola , Genovesi Federico , Branca Jacopo Junio Valerio , Paternostro Ferdinando , Della Posta Daniele
Published: October 2023

Background: Temporomandibular joint (TMJ) disorders, which affect millions of people worldwide, have multiple etiological factors that make an accurate diagnosis and effective treatments difficult. As a consequence, the gold standard diagnostic criteria for TMJ disorders remain elusive and often depend on subjective decisions. Aim: In this context, the lack of a non-invasive quantitative methodology capable of assessing the functional physiological state and, consequently, identifying risk indicators for the early diagnosis of TMJ disorders must be tackled and resolved. Methodology: In this work, we have studied the biomechanics and viscoelastic properties of the functional masticatory system by a non-invasive approach involving 52 healthy subjects, analysed by statistical–physics analysis applied to myotonic measurements on specific points of the masticatory system designing a TMJ network composed of 17 nodes and 20 links. Results: We find that the muscle tone and viscoelasticity of a specific cycle linking frontal, temporal, and mandibular nodes of the network play a prominent role in the physiological functionality of the system. At the same time, the functional state is characterised by a landscape of nearly degenerated levels of elasticity in all links of the network, making this parameter critically distributed and deviating from normal behaviour. Conclusions: Time evolution and dynamic correlations between biomechanics and viscoelastic parameters measured on the different cycles of the network provide a quantitative framework associated with the functional state of the masticatory system. Our results are expected to contribute to enriching the taxonomy of this system, primarily based on clinical observations, patient symptoms, and expert consensus.
Clinical Cases of Coccidioidomycosis in the Americas in the Period 1950–2021: Epidemiology Data, Diagnosis, and Treatment
Authors: Reyes-Montes María del Rocío , León-García Adriana Anel , Frías-De-León María Guadalupe , Acosta-Altamirano Gustavo , Sánchez-Saavedra Erika Paola , Victoriano-Pastelín Isai , Meraz-Ríos Beatriz , Duarte-Escalante Esperanza
Published: October 2023

Coccidioidomycosis, caused by Coccidioides immitis and C. posadasii, causes significant morbidity and mortality, both in immunocompetent and immunocompromised people, mainly in endemic areas. The present work analyzed its epidemiology, diagnostic methods, and treatment by reviewing clinical cases published from 1950 to 2021. Fifty-nine articles were included, corresponding to 275 clinical cases. The results showed a higher incidence of coccidioidomycosis in the male gender than the female gender. The most affected age group was 31–40 years, and the most reported clinical presentation was disseminated with greater involvement in cutaneous and subcutaneous tissue, followed by the CNS, bone system, and peritoneum. The species most frequently reported was C. immitis. The most used treatment was azoles, followed by their combination with amphotericin B, monotherapy with amphotericin B, and alternative medicine. This work shows that epidemiological data outside the USA are still scarce. Serological tests are the preferred diagnostic method in daily medical practice, and cultures remain the gold standard. The treatment for coccidioidomycosis is ketoconazole and amphotericin B, individually or in combination.
A Reference Governor with Adaptive Performance for Quadrotors under Safety Constraints
Authors: Trakas Panagiotis S. , Tantoulas Andreas , Bechlioulis Charalampos P.
Published: October 2023

This paper presents a novel robust reference governor (RG) for trajectory tracking of quadrotors. The proposed scheme is characterized by low computational complexity and straightforward gain selection. Moreover, it considers safety constraints regarding speed limits and ensures the stability and the proper operation of the closed-loop system. The proposed scheme imposes user-specified performance attributes on the evolution of the tracking error when the safety constraints allow it. When these constraints are at risk of violation, the proposed RG provides a relaxation of the predefined performance specifications to ensure the stability of the plant. Lyapunov analysis proves the boundedness of the closed-loop signals, while its efficacy is further clarified and verified via extensive comparative experimental results against a well-established PI regulator.
A Hybrid Method for All Types of Solutions of the System of Cauchy-Type Singular Integral Equations of the First Kind
Authors: Mamatova H. X. , Eshkuvatov Z. K. , Ismail Sh.
Published: October 2023

In this note, the hybrid method (combination of the homotopy perturbation method (HPM) and the Gauss elimination method (GEM)) is developed as a semi-analytical solution for the first kind system of Cauchy-type singular integral equations (CSIEs) with constant coefficients. Before applying the HPM, we have to first reduce the system of CSIEs into a triangle system of algebraic equations using GEM, which is then carried out using the HPM. Using the theory of the bounded, unbounded and semi-bounded solutions of CSIEs, we are able to find inverse operators for the system of CSIEs of the first kind. A stability analysis and convergent of the proposed method has been conducted in the weighted Lp space. Moreover, the proposed method is proven to be exact in the Holder class of functions for the system of characteristic SIEs for any type of initial guess. For each of the four cases, several examples are provided and examined to demonstrate the proposed method’s validity and accuracy. Obtained results are compared with the Chebyshev collocation method and modified HPM (MHPM). Example 3 reveals that the error term of the MHPM is slightly superior to that of the HPM. One of the features of the proposed method is that it can be solved as a complex-valued system of CSIEs. Numerical results revealed that the hybrid method dominates others.
Gut Bacterial Community Determines the Therapeutic Effect of Ginsenoside on Canine Inflammatory Bowel Disease by Modulating the Colonic Mucosal Barrier
Authors: Mao Aipeng , Zhao Weigang , Zhu Yuhang , Kong Fantao , Chen Danyang , Si Huazhe , Xu Chao
Published: October 2023

Inflammatory bowel disease (IBD) comprises systemic inflammatory conditions primarily affecting the gastrointestinal tract, including Crohn’s disease and ulcerative colitis. This research aims to analyze the clinical symptoms and pathogenesis of a Dextran sodium sulfate (DSS)-induced canine IBD model and evaluate the restorative effect of ginsenoside from a pathogenesis perspective. We established the DSS-induced canine IBD model and studied the pathological mechanisms. Additionally, we examined the therapeutic effect of ginsenosides by assessing the Canine Inflammatory Bowel Disease Activity Index (CIBDAI), C-reactive protein (CRP) levels, colonic tissue morphology, protein expression, and mucosal bacterial community analysis. Our findings revealed a total ginsenoside content of 22.7% in the ginsenoside extract. Animal experiments demonstrated that dogs with IBD exhibited decreased mental state, significantly increased CIBDAI and CRP levels, disrupted colonic epithelial tissue structure, decreased expression of mucin, tight junctions, and adherens junctions, as well as reduced diversity of the colonic mucosal bacterial community. Furthermore, correlation analysis highlighted a total of 38 bacterial strains correlated with physiological indices. Significantly, ginsenoside treatment could improve these symptoms and reverse the relative abundance of some bacterial communities. In conclusion, alterations in the properties of the colonic mucus layer or the reduction in MUC2, its core component, in dogs with IBD can lead to bacterial penetration of the mucus layer and subsequent contact with intestinal epithelial cells, resulting in inflammation. Remarkably, ginsenoside intervention showcased the capacity to positively influence the relative abundance of bacteria and impact the colonic mucus layer properties, thereby offering promising prospects for IBD management and recovery.
Risk Factors for the Spread of Brucellosis in Sheep and Goats in the Campania Region in the Years 2015–2020
Authors: Brunetti Roberta , Ottaiano Maria , Fordellone Mario , Chiodini Paolo , Signoriello Simona , Gargano Federica , De Massis Fabrizio , Baldi Loredana , De Carlo Esterina
Published: October 2023

Brucella is a Gram-negative facultative intracellular pathogen that causes infection in sheep and goats (B. melitensis.); B. melitensis can also infect other animals. Sheep and goat brucellosis is still present in some regions of Italy, including Campania, and causes considerable economic losses and health threats. The aim of this study was to evaluate the possible risk factors influencing the spread of brucellosis among sheep and goat farms in the Campania region in order to provide the local veterinary services with practical support in evaluating and planning diagnostic, preventive and control interventions. The results of official controls for brucellosis carried out from 2015 to 2020 in the sheep and goat farms of the Campania Region were analyzed. Data were extracted from the National Veterinary Information Systems and the Laboratory Management System of the Experimental Zooprophylactic Institute of Southern Italy. Statistical analysis was carried out through the software R version 4.1.0; the dataset consisted of 37,442 observations, and 9 qualitative and quantitative variables were evaluated on 8487 farms, 248 of which were positive. The association between covariates and the outcome (presence/absence of the disease) was evaluated (Fisher and Wilcoxon tests). A logistic regression model with mixed effects was carried out. This study confirmed that brucellosis in sheep and goats in the Campania region mostly occurs through contact with infected animals imported from other farms (OR = 3.41—IC 95% [1.82–6.41]). Farms with a greater number of animals were seen to be at the greatest risk of infection (OR = 1.04—IC 95% [1.03–1.05]); previous suspension of healthy status also proved to be a risk factor (OR = 55.8—IC 95% [26.7–117]).