bluuebunny/crossref_metadata_2025 huggingface dataset:
Risks and Benefits of SGLT-2 Inhibitors for Type 1 Diabetes Patients Using Automated Insulin Delivery Systems—A Literature Review
Authors: Elian Viviana , Popovici Violeta , Karampelas Oana , Pircalabioru Gratiela Gradisteanu , Radulian Gabriela , Musat Madalina
Published: February 2024

The primary treatment for autoimmune Diabetes Mellitus (Type 1 Diabetes Mellitus-T1DM) is insulin therapy. Unfortunately, a multitude of clinical cases has demonstrated that the use of insulin as a sole therapeutic intervention fails to address all issues comprehensively. Therefore, non-insulin adjunct treatment has been investigated and shown successful results in clinical trials. Various hypoglycemia-inducing drugs such as Metformin, glucagon-like peptide 1 (GLP-1) receptor agonists, dipeptidyl peptidase-4 (DPP-4) inhibitors, amylin analogs, and Sodium-Glucose Cotransporters 2 (SGLT-2) inhibitors, developed good outcomes in patients with T1DM. Currently, SGLT-2 inhibitors have remarkably improved the treatment of patients with diabetes by preventing cardiovascular events, heart failure hospitalization, and progression of renal disease. However, their pharmacological potential has not been explored enough. Thus, the substantial interest in SGLT-2 inhibitors (SGLT-2is) underlines the present review. It begins with an overview of carrier-mediated cellular glucose uptake, evidencing the insulin-independent transport system contribution to glucose homeostasis and the essential roles of Sodium-Glucose Cotransporters 1 and 2. Then, the pharmacological properties of SGLT-2is are detailed, leading to potential applications in treating T1DM patients with automated insulin delivery (AID) systems. Results from several studies demonstrated improvements in glycemic control, an increase in Time in Range (TIR), a decrease in glycemic variability, reduced daily insulin requirements without increasing hyperglycemic events, and benefits in weight management. However, these advantages are counterbalanced by increased risks, particularly concerning Diabetic Ketoacidosis (DKA). Several clinical trials reported a higher incidence of DKA when patients with T1DM received SGLT-2 inhibitors such as Sotagliflozin and Empagliflozin. On the other hand, patients with T1DM and a body mass index (BMI) of ≥27 kg/m2 treated with Dapagliflozin showed similar reduction in hyperglycemia and body weight and insignificantly increased DKA incidence compared to the overall trial population. Additional multicenter and randomized studies are required to establish safer and more effective long-term strategies based on patient selection, education, and continuous ketone body monitoring for optimal integration of SGLT-2 inhibitors into T1DM therapeutic protocol.
Molecular Targeting of the Phosphoinositide-3-Protein Kinase (PI3K) Pathway across Various Cancers
Authors: Shan Khine S. , Bonano-Rios Amalia , Theik Nyein Wint Yee , Hussein Atif , Blaya Marcelo
Published: February 2024

The dysregulation of the phosphatidylinositol-3-kinase (PI3K) pathway can lead to uncontrolled cellular growth and tumorigenesis. Targeting PI3K and its downstream substrates has been shown to be effective in preclinical studies and phase III trials with the approval of several PI3K pathway inhibitors by the Food and Drug Administration (FDA) over the past decade. However, the limited clinical efficacy of these inhibitors, intolerable toxicities, and acquired resistances limit the clinical application of PI3K inhibitors. This review discusses the PI3K signaling pathway, alterations in the PI3K pathway causing carcinogenesis, current and novel PI3K pathway inhibitors, adverse effects, resistance mechanisms, challenging issues, and future directions of PI3K pathway inhibitors.
Bone Marrow Adipose Tissue Is Not Required for Reconstitution of the Immune System Following Irradiation in Male Mice
Authors: Keune Jessica A. , Wong Carmen P. , Branscum Adam J. , Menn Scott A. , Iwaniec Urszula T. , Turner Russell T.
Published: February 2024

Bone marrow adipose tissue (BMAT) is hypothesized to serve as an expandable/contractible fat depot which functions, in part, to minimize energy requirements for sustaining optimal hematopoiesis. We investigated whether BMAT is required for immune reconstitution following injury. Male wild type (WBB6F1, WT) and BMAT-deficient WBB6F1/J-KitW/KitW-v/J (KitW/W-v) mice were lethally irradiated. Irradiation was followed by adoptive transfer of 1000 purified WT hematopoietic stem cells (HSCs). The extent of immune reconstitution in blood, bone marrow, and lymph nodes in the irradiated mice was determined using HSCs from green fluorescent protein (GFP)-expressing mice. We also evaluated skeletal response to treatment. Detection of GFP-positive B and T cells in peripheral blood at 4 and 9 weeks following adoptive transfer and in bone marrow and lymph nodes following necropsy revealed excellent immune reconstitution in both WT and BMAT-deficient mice. Adipocytes were numerous in the distal femur of WT mice but absent or rare in KitW/W-v mice. Bone parameters, including length, mass, density, bone volume, microarchitecture, and turnover balance, exhibited few differences between WT and BMAT-deficient mice. The minimal differences suggest that BMAT is not required for reconstitution of the immune system following lethal radiation and is not a major contributor to the skeletal phenotypes of kit signaling-deficient mice.
ATP-Induced Contractile Response of Esophageal Smooth Muscle in Mice
Authors: Suzuki Yuji , Shimizu Yasutake , Shiina Takahiko
Published: February 2024

The tunica muscularis of mammalian esophagi is composed of striated muscle and smooth muscle. Contraction of the esophageal striated muscle portion is mainly controlled by cholinergic neurons. On the other hand, smooth muscle contraction and relaxation are controlled not only by cholinergic components but also by non-cholinergic components in the esophagus. Adenosine triphosphate (ATP) is known to regulate smooth muscle contraction and relaxation in the gastrointestinal tract via purinergic receptors. However, the precise mechanism of purinergic regulation in the esophagus is still unclear. Therefore, the aim of the present study was to clarify the effects of ATP on the mechanical responses of the esophageal muscle in mice. An isolated segment of the mouse esophagus was placed in a Magnus’s tube and longitudinal mechanical responses were recorded. Exogenous application of ATP induced contractile responses in the esophageal preparations. Tetrodotoxin, a blocker of voltage-dependent sodium channels in neurons and striated muscle, did not affect the ATP-induced contraction. The ATP-evoked contraction was blocked by pretreatment with suramin, a purinergic receptor antagonist. RT-PCR revealed the expression of mRNA of purinergic receptor genes in the mouse esophageal tissue. The findings suggest that purinergic signaling might regulate the motor activity of mouse esophageal smooth muscle.
Mesenchymal Stromal Cells Derived from Dental Tissues: Immunomodulatory Properties and Clinical Potential
Authors: Poblano-Pérez Luis Ignacio , Castro-Manrreza Marta Elena , González-Alva Patricia , Fajardo-Orduña Guadalupe R. , Montesinos Juan José
Published: February 2024

Mesenchymal stem/stromal cells (MSCs) are multipotent cells located in different areas of the human body. The oral cavity is considered a potential source of MSCs because they have been identified in several dental tissues (D-MSCs). Clinical trials in which cells from these sources were used have shown that they are effective and safe as treatments for tissue regeneration. Importantly, immunoregulatory capacity has been observed in all of these populations; however, this function may vary among the different types of MSCs. Since this property is of clinical interest for cell therapy protocols, it is relevant to analyze the differences in immunoregulatory capacity, as well as the mechanisms used by each type of MSC. Interestingly, D-MSCs are the most suitable source for regenerating mineralized tissues in the oral region. Furthermore, the clinical potential of D-MSCs is supported due to their adequate capacity for proliferation, migration, and differentiation. There is also evidence for their potential application in protocols against autoimmune diseases and other inflammatory conditions due to their immunosuppressive capacity. Therefore, in this review, the immunoregulatory mechanisms identified at the preclinical level in combination with the different types of MSCs found in dental tissues are described, in addition to a description of the clinical trials in which MSCs from these sources have been applied.
Brassica oleracea L. var. italica Aquaporin Reconstituted Proteoliposomes as Nanosystems for Resveratrol Encapsulation
Authors: Yepes-Molina Lucia , Teruel José A. , Johanson Urban , Carvajal Micaela
Published: February 2024

Aquaporins (AQPs), membrane proteins responsible for facilitating water transport, found in plant membrane vesicles (MV), have been related to the functionality and stability of MV. We focused on AQPs obtained from broccoli, as they show potential for biotechnological applications. To gain further insight into the role of AQPs in MV, we describe the heterologous overexpression of two broccoli AQPs (BoPIP1;2 and BoPIP2;2) in Pichia pastoris, resulting in their purification with high yield (0.14 and 0.99 mg per gram cells for BoPIP1;2 and BoPIP2;2). We reconstituted AQPs in liposomes to study their functionality, and the size of proteoliposomes did not change concerning liposomes. BoPIP2;2 facilitated water transport, which was preserved for seven days at 4 °C and at room temperature but not at 37 °C. BoPIP2;2 was incorporated into liposomes to encapsulate a resveratrol extract, resulting in increased entrapment efficiency (EE) compared to conventional liposomes. Molecular docking was utilized to identify binding sites in PIP2s for resveratrol, highlighting the role of aquaporins in the improved EE. Moreover, interactions between plant AQP and human integrin were shown, which may increase internalization by the human target cells. Our results suggest AQP-based alternative encapsulation systems can be used in specifically targeted biotechnological applications.
MicroRNAs: The Missing Link between Hypertension and Periodontitis?
Authors: Rodriguez Nelia M. , Loren Pía , Paez Isis , Martínez Constanza , Chaparro Alejandra , Salazar Luis A.
Published: February 2024

Cardiovascular diseases are the leading cause of death worldwide, and arterial hypertension is a recognized cardiovascular risk factor that is responsible for high morbidity and mortality. Arterial hypertension is the result of an inflammatory process that results in the remodeling and thickening of the vascular walls, which is associated with an immunological response. Previous studies have attempted to demonstrate the relationship between oral disease, inflammation, and the development of systemic diseases. Currently, the existence of an association between periodontitis and hypertension is a controversial issue because the underlying pathophysiological processes and inflammatory mechanisms common to both diseases are unknown. This is due to the fact that periodontitis is a chronic inflammatory disease that affects the interface of teeth and surrounding tissues. However, the most likely explanation for understanding this association is related to low-grade chronic inflammation. An initial path in the study of the relationship between the mentioned pathologies is the possibility of an epigenetic influence, mediated by noncoding RNAs as microRNAs. Thus, in the present review we describe the role of microRNAs related to arterial hypertension and/or periodontitis. In addition, we identified 13 common microRNAs between periodontitis and hypertension. According to the predictions of the DIANA-mirPath program, they can regulate genes involved in 52 signaling pathways.
AliAmvra—Enhancing Customer Experience through the Application of Machine Learning Techniques for Survey Data Assessment and Analysis
Authors: Mpouziotas Dimitris , Besharat Jeries , Tsoulos Ioannis G. , Stylios Chrysostomos
Published: February 2024

AliAmvra is a project developed to explore and promote high-quality catches of the Amvrakikos Gulf (GP) to Artas’ wider regions. In addition, this project aimed to implement an integrated plan of action to form a business identity with high added value and achieve integrated business services adapted to the special characteristics of the area. The action plan for this project was to actively search for new markets, create a collective identity for the products, promote their quality and added value, engage in gastronomes and tasting exhibitions, dissemination and publicity actions, as well as enhance the quality of the products and markets based on the customer needs. The primary focus of this study is to observe and analyze the data retrieved from various tasting exhibitions of the AliAmvra project, with a target goal of improving customer experience and product quality. An extensive analysis was conducted for this study by collecting data through surveys that took place in the gastronomes of the AliAmvra project. Our objective was to conduct two types of reviews, one focused in data analysis and the other on evaluating model-driven algorithms. Each review utilized a survey with an individual structure, with each one serving a different purpose. In addition, our model review focused its attention on developing a robust recommendation system with said data. The algorithms we evaluated were MLP (multi-layered perceptron), RBF (radial basis function), GenClass, NNC (neural network construction), and FC (feature construction), which were used for the implementation of the recommendation system. As our final verdict, we determined that FC (feature construction) performed best, presenting the lowest classification rate of 24.87%, whilst the algorithm that performed the worst on average was RBF (radial basis function). Our final objective was to showcase and expand the work put into the AliAmvra project through this analysis.
Directed Criminal Networks: Temporal Analysis and Disruption
Authors: Anastasiadis Efstathios Konstantinos , Antoniou Ioannis
Published: February 2024

We extend network analysis to directed criminal networks in the context of asymmetric links. We computed selected centralities, centralizations and the assortativity of a drug trafficking network with 110 nodes and 295 edges. We also monitored the centralizations of eleven temporal networks corresponding to successive stages of investigation during the period 1994–1996. All indices reach local extrema at the stage of highest activity, extending previous results to directed networks. The sharpest changes (90%) are observed for betweenness and in-degree centralization. A notable difference between entropies is observed: the in-degree entropy reaches a global minimum at month 12, while the out-degree entropy reaches a global maximum. This confirms that at the stage of highest activity, incoming instructions are precise and focused, while outgoing instructions are diversified. These findings are expected to be useful for alerting the authorities to increasing criminal activity. The disruption simulations on the time-averaged network extend previous results on undirected networks to directed networks.
Do Large Language Models Show Human-like Biases? Exploring Confidence—Competence Gap in AI
Authors: Singh Aniket Kumar , Lamichhane Bishal , Devkota Suman , Dhakal Uttam , Dhakal Chandra
Published: February 2024

This study investigates self-assessment tendencies in Large Language Models (LLMs), examining if patterns resemble human cognitive biases like the Dunning–Kruger effect. LLMs, including GPT, BARD, Claude, and LLaMA, are evaluated using confidence scores on reasoning tasks. The models provide self-assessed confidence levels before and after responding to different questions. The results show cases where high confidence does not correlate with correctness, suggesting overconfidence. Conversely, low confidence despite accurate responses indicates potential underestimation. The confidence scores vary across problem categories and difficulties, reducing confidence for complex queries. GPT-4 displays consistent confidence, while LLaMA and Claude demonstrate more variations. Some of these patterns resemble the Dunning–Kruger effect, where incompetence leads to inflated self-evaluations. While not conclusively evident, these observations parallel this phenomenon and provide a foundation to further explore the alignment of competence and confidence in LLMs. As LLMs continue to expand their societal roles, further research into their self-assessment mechanisms is warranted to fully understand their capabilities and limitations.
First Report of the Association of the Psyllid Vector Bactericera trigonica (Hemiptera: Triozidae) with ‘Candidatus Liberibacter Solanacearum’ in Italy
Authors: Bertinelli Giorgia , Tizzani Lorenza , Mosconi Fabio , Ilardi Vincenza , Bertin Sabrina
Published: February 2024

Psyllids, members of the family Triozidae, represent a potential threat to the cultivation of solanaceous and apiaceous crops worldwide, mainly as vectors of the phloem-restricted bacterium ‘Candidatus Liberibacter solanacearum’ (Lso). The Lso haplotypes C, D and E are known to affect apiaceous crops, such as carrot and celery, in several European countries. In Italy, data on the incidence and natural spread of both Lso and psyllids have not been reported so far. In this study, the presence of the vectors was investigated in a main Italian district for carrot production, the “Altopiano del Fucino” area (Central Italy). Both occasional and regular surveys were carried out on a total of five carrot fields and one potato field in 2021 and 2022. Bactericera trigonica (Hodkinson), which is known to efficiently transmit Lso to carrots, was found to be well-established in the area. High levels of population density were recorded in the summer period (more than 100 adult specimens per trap caught every two weeks) and then sharply decreased after the carrot harvest, confirming the strict association of this psyllid species with crop availability. In 2022, 27.5% of the total tested psyllid samples resulted in being positive for Lso haplotypes D and E, the latter being prevalent. This survey revealed, for the first time in Italy, the presence of B. trigonica adults associated with Lso in carrot crops. Although this study was limited to a few fields located in one area, it provided important evidence of the risks for Lso outbreaks and prompted further research to assess the spread and incidence of the disease in apiaceous cultivations in Italy.
The Relationship between Sleep Parameters Measured by Polysomnography and Selected Neurotrophic Factors
Authors: Sochal Marcin , Binienda Agata , Tarasiuk Aleksandra , Gabryelska Agata , Białasiewicz Piotr , Ditmer Marta , Turkiewicz Szymon , Karuga Filip Franciszek , Fichna Jakub , Wysokiński Adam
Published: February 2024

Background: The molecular underpinnings of insufficient sleep remain underexplored, with disruptions in the neurotrophic signaling pathway emerging as a potential explanation. Neurotrophins (NTs), including brain-derived neurotrophic factor (BDNF), neurotrophin-3 (NT3), neurotrophin 4 (NT4), and glial-cell-line-derived growth factor (GDNF), play crucial roles in nerve cell growth and repair. However, their associations with sleep patterns are poorly understood. This study aimed to investigate the relationship between the chosen neurotrophins and objective sleep parameters. Methods: The study involved 81 participants subjected to polysomnography (PSG). Blood samples were collected after PSG. The mRNA expression and serum protein concentrations of BDNF, GDNF, NT3, and NT4 were measured using real-time quantitative reverse-transcription PCR (qRT-PCR) or enzyme-linked immunosorbent assay (ELISA) methods, respectively. Results: BDNF and NT3 proteins were negatively correlated with NREM events, while NT4 protein positively correlated with REM events. Electroencephalography power analysis revealed BDNF protein’s negative correlation with delta waves during rapid eye movement and non-rapid eye movement sleep. Conclusion: The study highlights associations between neurotrophins and sleep, emphasizing BDNF’s role in regulating NREM and REM sleep. The EEG power analysis implicated BDNF in delta wave modulation, shedding light on potential neurotrophic mechanisms underlying sleep effects on cognitive and mood processes.
Mitral Annular Calcification-Related Valvular Disease: A Challenging Entity
Authors: Museedi Abdulrahman S. , Le Jemtel Thierry H.
Published: February 2024

Mitral valve annular calcification-related valvular disease is increasingly common due to the rising prevalence of age-related mitral annular calcifications. Mitral annular calcification alters the structure and function of the mitral valve annulus, which in turn causes mitral valve regurgitation, stenosis, or both. As it frequently coexists with comorbid conditions and overlapping symptoms, mitral annular calcification-related valvular disease poses significant diagnostic and therapeutic challenges. For instance, left ventricular diastolic dysfunction hinders the assessment of mitral valvular disease. Detection of mitral annular calcifications and assessment of related mitral valve disease hinge on two-dimensional echocardiography. Comprehensive assessment of mitral annular calcifications and related mitral valve disease may require multidetector computed tomography and three-dimensional echocardiography. Invasive hemodynamic testing with exercise helps identify the cause of symptoms in patients with comorbid conditions, and transcatheter interventions have emerged as a viable therapeutic option for older patients. After an outline of the normal mitral annulus, we examine how mitral annular calcifications lead to mitral valve disease and how to accurately assess mitral regurgitation and stenosis. Lastly, we review surgical and transcatheter approaches to the management of mitral annular calcification-related mitral valve regurgitation, stenosis, or both.
Carboplatin plus Paclitaxel in Combination with the Histone Deacetylate Inhibitor, Vorinostat, in Patients with Recurrent Platinum-Sensitive Ovarian Cancer
Authors: Meteran Hanieh , Knudsen Anja Ør , Jørgensen Trine Lembrecht , Nielsen Dorte , Herrstedt Jørn
Published: February 2024

Background: This phase II study evaluated the efficacy and safety of the histone deacetylase (HDAC) inhibitor, vorinostat, administered in combination with paclitaxel and carboplatin in patients with platinum sensitive recurrent ovarian cancer. Methods: Women with recurrent platinum-sensitive ovarian, peritoneal, or Fallopian tube carcinoma, a performance status of 0–2, and good overall organ function were eligible. Patients received 6 courses of paclitaxel (175 mg/m2) and carboplatin area under the curve (AUC) of 5.0 mg/mL/min administered via intravenous infusion on day 1 of a 3-week schedule. In addition, patients received vorinostat 400 mg orally once daily on days −4 through 10 of Cycle 1 and days 1 through 14 of each subsequent treatment cycle. The primary endpoints were progression-free survival (PFS) and adverse events. The secondary endpoints were the objective response rate and overall survival. Results: Fifty-five patients were included. CR was obtained in 14 patients (26.4%) and PR in 19 patients (35.8%), resulting in an ORR of 62.2%. Twenty patients (37.7%) had SD. The median duration of response (DoR) was 12.6 (range 6–128) months. The median PFS was 11.6 months (95% CI, 10.3–18.0; p < 0.001). Median OS was 40.6 months (95% Cl, 25.1–56.1). The most common treatment-related adverse events (all grades) were fatigue, anemia, thrombocytopenia, neutropenia, anorexia, nausea, pain, sensory neuropathy, myalgia, stomatitis and diarrhea. Conclusions: Vorinostat combined with carboplatin plus paclitaxel was tolerable and generated significant responses including a long median overall survival in recurrent platinum-sensitive ovarian cancer.
Effectiveness of Rehabilitation for Disk Displacement of the Temporomandibular Joint—A Cross-Sectional Study
Authors: Kulesa-Mrowiecka Małgorzata , Ciężarek Patryk , Pihut Małgorzata
Published: February 2024

(1) Background: Dislocations of articular disk can occur as a result of parafunctions in the Temporo Mandibular Joint (TMJ), which limits the opening of the mandible and other movements. The aim of this study was to evaluate the effectiveness of rehabilitation in patients with disk displacement of the TMJ. A total of 327 subjects with Temporo Mandibular Disorders underwent stomathognatic physiotherapy. (2) Methods: Based on the results obtained by a manual functional analysis, 35 patients who were identified with articular disk locking (disk displacement without reduction) were included in the study. The study group (N = 35) was subjected to passive repositioning of the articular disk, reposition splints, and physiotherapy. The patient’s TMJs were then examined before the therapy, immediately after the therapy, and during the follow-up visit 3–6 weeks after the therapy. The Diagnostic Criteria for the Most Common Intra-articular Temporomandibular Disorders was used to evaluate the effects of rehabilitation on the patients’ range of motions and the Numeric Pain Rating Scale (NPRS). For the statistical analysis, Pearson’s r correlation coefficient test and Wilcoxon signed-rank test were used. (3) Results: The results showed a significant improvement in the range of motion of the mandible movements. The level of improvement was dependent on the time from the incident until undergoing rehabilitation. (4) Conclusions: The stomatognathic physiotherapy applied increased the range of motion of the mandible and reduced pain levels to the expected range.
Mandibular Third Molar Impaction and Bone Change Distal to the Second Molar: A Panoramic Radiographic Study
Authors: Ahmed Hassan Assiri , López-López Jose , Egido-Moreno Sonia , Llabrés Xavier Roselló , Hameed Mohammed , Estrugo-Devesa Albert
Published: February 2024

Background: The mandibular third molar is the most frequently impacted tooth. An impacted mandibular third molar (IMTM) can have negative consequences on the adjacent mandibular second molar (MSM), such as bone loss. An IMTM can be identified using orthopantomography (OPG). Our objective is to compare changes in bone level distal to the mandibular second molar (MSM) in patients with an extracted IMTM versus non-extracted IMTM using OPG. Methods: In this retrospective case–control study, 160 orthopantomograms (OPGs) of 80 patients who attended Dental Hospital of the University of Barcelona (HOUB) were randomly selected. Participants were stratified into a study group and control group. Results: Males and females experienced bone gain in the study group and bone loss in the control group. However, the difference in bone-level change was not statistically significant regarding gender in the study group. Within the study group, the age group of 29–39 years demonstrated significant (p-value = 0.042) bone gain after extraction compared to other age groups. However, the control group demonstrated bone loss in all age groups in which the difference is not statistically significant (p-value 0.794). Conclusions: Bone improvements distal to the MSM were observed after the extraction of an IMTM compared to when an IMTM was not extracted.
Recurrent Sialolithiasis following Intraoral Deep Hilar/Intraparenchymal Stone Removal from Wharton’s Duct
Authors: Tarazis Konstantinos , Garefis Konstantinos , Chatziavramidis Angelos , Konstantinidis Iordanis
Published: February 2024

(1) Background: Submandibular gland (SMG) sialolithiasis treatment has shifted significantly, favouring minimal invasiveness. Nonetheless, transoral stone removal remains viable for distal, deep hilar, and intraparenchymal stones. However, data are limited regarding recurrence and revision surgery; (2) Patients/Methods: This retrospective study included 226 patients with SMG stones treated using Wharton’s duct slitting and marsupialisation over nine years; 138 had deep hilar or intraparenchymal stones, while 88 had distal stones. Of the former group, 18 experienced symptom recurrence post-surgery, 12 with stones and 6 with duct stenosis; (3) Results: Of the 126 patients without recurrent stones, 71% were male and 29% were female. Their mean age was 51.02 ± 9.36 years. The stones of the 126 patients without recurrence had a diameter of 8.3 mm ± SD: 4 mm, which was significantly smaller than those of the patients who experienced recurrence (13.8 mm ± SD: 2.4 mm; p < 0.05). The mean estimated stone growth recurrence rate was 8.4 ± SD: 1.8 mm per year. A secondary operation was performed 34 ± SD: 14.7 months after the first. Of the patients with recurrence, 91.7% were treated under general anaesthesia. The preferred treatment for 58.4% of patients was intraoral revision operation; the remainder underwent total gland resection. The mean follow-up period was 43 ± SD: 18 months; (4) Conclusions: The rate of revision surgery was relatively low. In recurrent SMG sialolithiasis, new stones may grow faster than the primary stones, which are already larger than those in patients without recurrence. The slitting and marsupialisation of Wharton’s duct can treat recurrent cases.
Trans-Arterial Stem Cell Injection (TASI): The Role of Interventional Radiology in Regenerative Medicine
Authors: Taninokuchi Tomassoni Makoto , Zhou Yinghui , Braccischi Lorenzo , Modestino Francesco , Fukuda Junji , Mosconi Cristina
Published: February 2024

Regenerative medicine is taking a step forward in treating multiple diseases. The possibility of renewing damaged tissues with stem cells has become a topic of interest in recent decades. Still a relatively new research topic, many issues in this discipline are being addressed, from cell culturing to the study of different graft materials, and, moreover, cell delivery. For instance, direct intravenous injection has a big downfall regarding its lack of precision and poorly targeted treatment. Trans-arterial and direct percutaneous infusion to the aimed tissue/organ are both considered ideal for reaching the desired region but require image guidance to be performed safely and precisely. In this context, interventional radiology becomes pivotal for providing different cell delivery possibilities in every case. In this review, we analyze different basic stem cell therapy concepts and the current and future role of interventional radiology with a focus on trans-arterial delivery.
Full Arch Implant-Prosthetic Rehabilitation in Patients with Cardiovascular Diseases: A 7-Year Follow-Up Prospective Single Cohort Study
Authors: D’Orto Bianca , Tetè Giulia , Nagni Matteo , Visconti Riccardo Federico , Polizzi Elisabetta , Gherlone Enrico Felice
Published: February 2024

Aim: The rising average age increases edentulous cases, demanding more implant–prosthetic rehabilitation, with cardiovascular diseases being significant factors. This study compared healthy patients (CG = Control Group) and those with cardiovascular disease (TG = Test Group) for implant survival, Marginal Bone Loss (MBL), peri-implant tissue level parameters as Periodontal Screening and Recording (PSR), Plaque Index (PI), Bleeding on Probing (BoP) Peri-implant Probing Depth (PPD), and surgical complications. Smoking impact on both groups and medication influence in the TG were secondary outcomes. Patients underwent full-arch implant prosthetic rehabilitation. Methods: Implant survival rate, MBL, and surgical complications were recorded during the monitoring period (7 years), while peri-implant parameters were assessed at the end of the observational time. A total of 26 and 28 CG and TG patients were recruited, respectively. Results: A total of 128 implants were placed in CG, while 142 in the TG. Implant survival and MBL showed no significant differences (p > 0.05). Nevertheless, peri-implant parameters were more unfavorable in TG. The only significant surgical complication was higher bleeding rates in the TG (p < 0.05). Conclusions: Cardiovascular patients showed similar implant survival and MBL but had adverse peri-implant parameters and increased bleeding rates. Higher smoking levels may relate to unfavorable implant outcomes. Further investigation is needed on drug impact with larger samples.
NOS2 Polymorphism in Aspect of Left and Right-Sided Colorectal Cancer
Authors: Klusek Justyna , Lewitowicz Piotr , Oblap Ruslan , Orlewska Ewa , Witczak Bartosz , Marzec Michał Tomasz , Kozłowska-Geller Monika , Nawacki Łukasz , Wawszczak-Kasza Monika , Kocańda Kamila , Jóźwik Artur , Głuszek Stanisław
Published: February 2024

Background: The NOS2 gene polymorphism rs2297518 is associated with an increased level of NO, which could contribute to colorectal cancer (CRC) development. We hypothesized that the potential influence of the NOS2 gene polymorphism on cancer development may vary between right-sided and left-sided colon cancers, and rectal cancers. The aim of this study was to determine the rs2297518 polymorphism influence on colorectal cancer development with regard to tumor localization. Methods: This case–control study included 199 patients with CRC and 120 controls. The qPCR endpoint genotyping was conducted using the TaqMan® genotyping assay. Results: This study revealed significant differences in tumor characteristic and in the minor alelle A frequency in the NOS2 genotype between colorectal cancers with different localizations. The mucinous adenocarcinoma was diagnosed significantly more often in right-sided cancers than in left-sided (30.6% vs. 10.9%, p = 0.009) and rectal cancers (30.6% vs. 7.1%, p = 0.0003). The minor allele A of the NOS2 genotype was observed more frequently in right-sided cancers than in left-sided cancers (44.9% vs. 23.1%, p = 0.0137) and more frequently in rectal cancers than in left-sided cancers (40.0% vs. 23.1%, p = 0.0285). Conclusions: In conclusion, the results support the hypothesis that the SNP rs2297518 of the NOS2 gene influences colorectal cancer development with regard to tumor localization.
State-of-the-Art of Transcatheter Left Atrial Appendage Occlusion
Authors: Pastormerlo Luigi Emilio , De Caterina Alberto Ranieri , Esposito Augusto , Korsholm Kasper , Berti Sergio
Published: February 2024

Left atrial appendage occlusion (LAAO) is an increasingly used alternative to oral anticoagulation in patients with atrial fibrillation, especially in patients with absolute/relative contraindications to these therapies. This review will cover three main aspects of the procedure. In the fist part of the manuscript, we focus on patient selection. We describe three main categories of patients with primary indication to LAAO, namely patients with previous or at a high risk of intracerebral bleeding, patients with a history of major gastrointestinal bleeding and patients with end-stage renal disease and absolute contraindication to novel oral anticoagulants. Some other potential indications are also described. In the second part of the manuscript, we review available devices, trying to highlight different aspects and potential specific advantages. The last section overviews different ways for pre-, intra- and postprocedural imaging, in order to improve procedural safety and efficacy and ameliorate patient outcome. The characteristics of available contemporary devices and the role of imaging in procedural planning, intraprocedural guidance and follow-up are described.
A Novel Single-Tube Next Generation Sequencing Assay for B-Cell Receptor Clonality Testing
Authors: Pastushok Landon , Sarda Shrutii , Mochoruk Karen , Hill Wayne , Pickle Loni T. , Toro Michelle , Gonzalez Carolina , Ostresh Stephanie , Looney Timothy J. , Yang Chenchen , Stakiw Julie , Bosch Mark J. , Goubran Hadi , Geyer C. Ronald , Lowman Geoffrey M. , DeCoteau John F.
Published: February 2024

B-cell neoplasms possess clonal B-cell receptor rearrangements (BCR clonotype lineages) that can be identified by sequencing the B-cell repertoire for use in diagnostics, risk stratification, and high-sensitivity monitoring. BCR somatic hypermutation (SHM) can result in clonality detection failure from point mutations in PCR primer binding regions, often necessitating splitting samples into multiple reactions which increases test costs, turnaround times, and sample requirements. We evaluated the Oncomine BCR Pan-Clonality Assay, a novel single-tube PCR reaction that simultaneously amplifies all BCR loci for next-generation DNA sequencing, using neoplastic B-cell lines and clinical research samples from multiple myeloma (MM) patients, a plasma cell neoplasm associated with high SHM levels. The assay showed a linear detection range down to 1 ng of clonal DNA input, sensitivity to 10−6 in a polyclonal background, and high reproducibility. Clonotype lineages were identified in 42/45 (93%) MM samples. Ion Reporter software packaged with the assay permitted straightforward identification of MM subgroups. As expected, SHM was identified in 94% of MM cases, but several unexpected subgroups were identified including biased IGHV3-11 or IGHV4-34 usage in 20% of MM samples, and two cases with very low levels of SHM. Evidence of intraclonal diversity/ongoing SHM was identified in 18% of samples, suggesting a possible germinal center origin for some MM cases. The single-tube Oncomine BCR Pan-Clonality assay efficiently detects BCR clonotype lineages at rates comparable to existing multiple reaction assays and permits their characterization for cell of origin studies and lymphoma classification.
Improvement of PbSn Solder Reliability with Ge Microalloying-Induced Optimization of Intermetallic Compounds Growth
Authors: Qu Zhibo , Hao Yilong , Chen Changhao , Wang Yong , Xu Shimeng , Shi Shuyuan , Lin Pengrong , Xie Xiaochen
Published: February 2024

PbSn solders are used in semiconductor devices for aerospace or military purposes with high levels of reliability requirements. Microalloying has been widely adopted to improve the reliability for Pb-free solders, but its application in PbSn solders is scarce. In this article, the optimization of PbSn solder reliability with Ge microalloying was investigated using both experimental and calculation methods. Intermetallic compounds (IMC) growth and morphologies evolution during reliability tests were considered to be the main factors of device failure. Through first-principle calculation, the growth mechanism of interfacial Ni3Sn4 was discussed, including the formation of vacancies, the Ni-vacancies exchange diffusion and the dominant Ni diffusion along the [1 0 0] direction. The doping of Ge in the cell increased the exchange energy barrier and thus inhibited the IMC development and coarsening trend. In three reliability tests, only 0.013 wt% Ge microalloying in Pb60Sn40 was able to reduce IMC thickness by an increment of 22.6~38.7%. The proposed Ge microalloying method in traditional PbSn solder could yield a prospective candidate for highly reliable applications.
Navigating Pyrolysis Implementation—A Tutorial Review on Consideration Factors and Thermochemical Operating Methods for Biomass Conversion
Authors: Rasaq Waheed A. , Okpala Charles Odilichukwu R. , Igwegbe Chinenye Adaobi , Białowiec Andrzej
Published: February 2024

Pyrolysis and related thermal conversion processes have shown increased research momentum in recent decades. Understanding the underlying thermal conversion process principles alongside the associated/exhibited operational challenges that are specific to biomass types is crucial for beginners in this research area. From an extensive literature search, the authors are convinced that a tutorial review that guides beginners particularly towards pyrolysis implementation, from different biomasses to the thermal conversion process and conditions, is scarce. An effective understanding of pre-to-main pyrolysis stages, alongside corresponding standard methodologies, would help beginners discuss anticipated results. To support the existing information, therefore, this review sought to seek how to navigate pyrolysis implementation, specifically considering factors and thermochemical operating methods for biomass conversion, drawing the ideas from: (a) the evolving nature of the thermal conversion process; (b) the potential inter-relatedness between individual components affecting pyrolysis-based research; (c) pre- to post-pyrolysis’ engagement strategies; (d) potential feedstock employed in the thermal conversion processes; (e) the major pre-treatment strategies applied to feedstocks; (f) system performance considerations between pyrolysis reactors; and (g) differentiating between the reactor and operation parameters involved in the thermal conversion processes. Moreover, pre-pyrolysis activity tackles biomass selection/analytical measurements, whereas the main pyrolysis activity tackles treatment methods, reactor types, operating processes, and the eventual product output. Other areas that need beginners’ attention include high-pressure process reactor design strategies and material types that have a greater potential for biomass.
Strengthening and Embrittling Mechanism of Super 304H Steel during Long-Term Aging at 650 °C
Authors: Wu Yue , Chai Fufangzhuo , Liu Junjian , Wang Jiaqing , Li Yong , Du Chengchao
Published: February 2024

Super 304H has been a crucial material for ultra-supercritical boilers. However, the relationship between microstructure evolution, strengthening mechanism, and embrittling behavior during long-term aging was lacking investigation. This investigation aimed to reveal the strengthening and embrittling mechanism from precipitates in Super 304H. The results showed that the hardness increment came from the grain boundary’s M23C6 (GB’s M23C6) and intragranular nano Cu-rich particles. After being aged for 5000 h, the GB’s M23C6 and nano Cu-rich particles provided a hardness increment of approximately 10 HV and 30 HV, respectively. The impact toughness gradually decreased from 213 J/cm2 to 161 J/cm2 with the extending aging time. For the aged Super 304H, the GB’s M23C6 provided a higher cracking source. In addition, the nano Cu-rich particle restricted the twin-induced plastic deformation of austenitic grain and depressed the absorbed energy from austenitic grain deformation.
Influence of Different Powder Conditioning Strategies on Metal Binder Jetting with Ti-6Al-4V
Authors: Janzen Kevin , Kallies Kim Julia , Waalkes Lennart , Imgrund Philipp , Emmelmann Claus
Published: February 2024

Metal binder jetting shows great potential for medical technology. This potential can be exploited by integrating binder jetting into existing process routes known from metal injection molding. The biggest challenge here is the flowability and packing behavior of the powders used, due to their low size distributions. This paper investigates different powder-drying strategies to improve flowability using a statistical experimental design. Because of its relevance for medical applications, spherical Ti-6Al-4V powder with a size distribution under 25 µm is dried under various parameters using vacuum and gas purging. The investigated parameters, time and temperature, are selected in a central-composite-circumscribed test plan with eleven tests and three center points. The target parameters—water content, flowability and impurity levels (oxygen, nitrogen)—of the powder are analyzed. For validation, practical test trials are carried out on an industrial binder jetting system with unconditioned powder and conditioning with optimized parameters, comparing the manufactured parts and the powder bed. An optimized drying cycle with a duration of 6 h at 200 °C was determined for the investigated powder. Significant improvements in the dimensional accuracy (from ±1.5 to 0.3%) of the components and the visual impression of the powder bed are demonstrated.
Optimization of the Boundary Conditions of a Board Level Reliability Test Board to Maximize the Fatigue Life of Ball Grid Array Solder Joints under Thermal Cycling and Random Vibration
Authors: Lee Jisup , Jeong Hyunsik , Jang Gunhee
Published: February 2024

We investigated the screw hole position of a board level reliability (BLR) test board to improve the fatigue reliability of solder joints under thermal cycling and random vibration. We developed a finite element model of a BLR test board and derived the plastic strain energy density and 1-sigma stress, which are the main parameters influencing the fatigue life of solder joints under thermal cycling and random vibration, respectively. We analyzed the correlation between the screw hole position and the main parameters of the fatigue life through sensitivity analysis. By performing multi-objective optimization, we determined the screw hole position that maximizes the fatigue life of solder joints under thermal cycling and random vibration. With the optimal screw hole position, the fatigue life significantly increased under thermal cycling and random vibration compared to the BLR test board with the initial screw hole position.
Internal Pressure–Temperature Coupling Analysis Method for Thermal Decomposition of GFRP Composites Based on the Overlapping Elements Method
Authors: Li Han , Wei Peng , Han Xuefei , Li Jiawei
Published: February 2024

A method of internal pressure–temperature coupling analysis for the thermal decomposition of GFRP composites under high-temperature conditions was established, which incorporates coupled calculations of heat transfer equations, the Arrhenius equation, Darcy’s law, and the ideal gas state equation. Using the overlapping mesh method, the coupling calculation of temperature and internal pressure is realized based on the UMATHT and USDFLD user subroutines developed. Specifically, two user subroutines, UMATHT-1 and UMATHT-2, are used to define the heat transfer equation and gas diffusion equation separately. Numerical simulations are conducted to simulate the polymers’ thermal decomposition in high-temperature environments. For glass fiber/vinyl ester composites and glass fiber/phenolic composites, the predicted temperature and pressure values are in good agreement with experimental measurements, and porosity and permeability are then analyzed. Due to the accumulation of thermal decomposition gases, inter-pressure within the material surged and reached a peak value. After that, it began to decrease, but the factors affecting the pressure decrease vary at different positions. Specifically, the pressure closest to the heating surface is influenced by the combined effects of decomposition rate, permeability, and porosity, while the pressure far away from the heating surface is only affected by the initial permeability. The pressure in the intermediate region may be influenced by both increased porosity and initial permeability.
Powder Bed Fusion 3D Printing in Precision Manufacturing for Biomedical Applications: A Comprehensive Review
Authors: Joshua Rajan John Nekin , Raj Sakthivel Aravind , Hameed Sultan Mohamed Thariq , Łukaszewicz Andrzej , Józwik Jerzy , Oksiuta Zbigniew , Dziedzic Krzysztof , Tofil Arkadiusz , Shahar Farah Syazwani
Published: February 2024

Precision manufacturing requirements are the key to ensuring the quality and reliability of biomedical implants. The powder bed fusion (PBF) technique offers a promising solution, enabling the creation of complex, patient-specific implants with a high degree of precision. This technology is revolutionizing the biomedical industry, paving the way for a new era of personalized medicine. This review explores and details powder bed fusion 3D printing and its application in the biomedical field. It begins with an introduction to the powder bed fusion 3D-printing technology and its various classifications. Later, it analyzes the numerous fields in which powder bed fusion 3D printing has been successfully deployed where precision components are required, including the fabrication of personalized implants and scaffolds for tissue engineering. This review also discusses the potential advantages and limitations for using the powder bed fusion 3D-printing technology in terms of precision, customization, and cost effectiveness. In addition, it highlights the current challenges and prospects of the powder bed fusion 3D-printing technology. This work offers valuable insights for researchers engaged in the field, aiming to contribute to the advancement of the powder bed fusion 3D-printing technology in the context of precision manufacturing for biomedical applications.