bluuebunny/crossref_metadata_2025 huggingface dataset:
Immunosuppressive Traits of the Hybrid Epithelial/Mesenchymal Phenotype
Authors: Sahoo Sarthak , Nayak Sonali Priyadarshini , Hari Kishore , Purkait Prithu , Mandal Susmita , Kishore Akash , Levine Herbert , Jolly Mohit Kumar
Published: December 2021

Recent preclinical and clinical data suggests enhanced metastatic fitness of hybrid epithelial/mesenchymal (E/M) phenotypes, but mechanistic details regarding their survival strategies during metastasis remain unclear. Here, we investigate immune-evasive strategies of hybrid E/M states. We construct and simulate the dynamics of a minimalistic regulatory network encompassing the known associations among regulators of EMT (epithelial-mesenchymal transition) and PD-L1, an established immune-suppressor. Our simulations for the network consisting of SLUG, ZEB1, miR-200, CDH1 and PD-L1, integrated with single-cell and bulk RNA-seq data analysis, elucidate that hybrid E/M cells can have high levels of PD-L1, similar to those seen in cells with a full EMT phenotype, thus obviating the need for cancer cells to undergo a full EMT to be immune-evasive. Specifically, in breast cancer, we show the co-existence of hybrid E/M phenotypes, enhanced resistance to anti-estrogen therapy and increased PD-L1 levels. Our results underscore how the emergent dynamics of interconnected regulatory networks can coordinate different axes of cellular fitness during metastasis.
The Effects of Climatic Variability on the Feeding Ecology of the Scalloped Hammerhead Shark (Sphyrna lewini) in the Tropical Eastern Pacific
Authors: Arnés-Urgellés Camila , Salinas-de-León Pelayo , Rastoin-Laplane Etienne , Vaca-Pita Leandro , Suárez-Moncada Jenifer , Páez-Rosas Diego
Published: December 2021

Climatic variability changes ocean productivity and generates systematic cascading effects in marine food webs. Studying the feeding ecology of top predators, such as sharks, can provide insights into the overall health of marine ecosystems. We conducted a 4-year study to evaluate seasonal and inter-annual trophic variations and their relationship with El Niño Southern Oscillation (ENSO) on the largest aggregation of scalloped hammerhead shark (Sphyrna lewini) in the Tropical Eastern Pacific (TEP). We used δ13C and δ15N signatures to gain a better understanding of hammerheads’ feeding strategies as well as variations of their isotopic niche. Our results suggest that the hammerhead sharks in the Galapagos Marine Reserve respond to climatic fluctuations, with La Niña event potentially benefiting their trophic needs as the overall marine productivity increased in the region. This work is the first of its kind in the TEP and provides insights on how climate variability influences the feeding ecology of this critically endangered species. It also highlights the need to incorporate climate-related conservation strategies into the management of this species since ENSO events become more frequent and intense in the face of climate change.
A Novel Peripheral Action of PICK1 Inhibition in Inflammatory Pain
Authors: Jensen Kathrine Louise , Noes-Holt Gith , Sørensen Andreas Toft , Madsen Kenneth Lindegaard
Published: December 2021

Chronic pain is a major healthcare problem that impacts one in five adults across the globe. Current treatment is compromised by dose-limiting side effects including drowsiness, apathy, fatigue, loss of ability to function socially and professionally as well as a high abuse liability. Most of these side effects result from broad suppression of excitatory neurotransmission. Chronic pain states are associated with specific changes in the efficacy of synaptic transmission in the pain pathways leading to amplification of non-noxious stimuli and spontaneous pain. Consequently, a reversal of these specific changes may pave the way for the development of efficacious pain treatment with fewer side effects. We have recently described a high-affinity, bivalent peptide TAT-P4-(C5)2, enabling efficient targeting of the neuronal scaffold protein, PICK1, a key protein in mediating chronic pain sensitization. In the present study, we demonstrate that in an inflammatory pain model, the peptide does not only relieve mechanical allodynia by targeting PICK1 involved in central sensitization, but also by peripheral actions in the inflamed paw. Further, we assess the effects of the peptide on novelty-induced locomotor activity, abuse liability, and memory performance without identifying significant side effects.
Association Study of Apolipoprotein E Gene Polymorphism With Incidence and Delayed Resolution of Hemifacial Spasm
Authors: Zhou Jianxin , Jiang Li , Yuan Sangui , Huang Jiashang , Shi Quanhong , Xie Yanfeng , Deng Bo , Zhan Yan
Published: December 2021

Objective: This study investigates the correlation between Apolipoprotein E gene (APOE) polymorphism and the incidence and delayed resolution of hemifacial spasms.

Methods: The APOE genotypes of 151 patients with hemifacial spasm and 73 control cases were determined by cleaved amplification polymorphism sequence-tagged sites. The distribution of three APOE alleles (ε2, ε3, and ε4) in two groups and the delayed resolution rate in 6 genotypes were calculated and statistically analyzed.

Results: The proportion of patients with APOE ε3/ε4 genotype in the hemifacial spasm group (25.17%) was significantly higher than that in the control group (12.33%) (P = 0.027). In terms of allele frequency, the proportion of the APOE ε4 allele in the hemifacial spasm group (15.56%) was significantly higher than that in the control group (6.85%) (P = 0.009). Meanwhile, the proportion of APOE ε4 allele carriers in the hemifacial spasm group (29.80%) was significantly higher than that in the control group (13.7%) (P = 0.009). Logistic regression analysis showed that the ε4 allele significantly increased the incidence of hemifacial spasm (OR 2.675, 95%CI 1.260-5.678, P = 0.010). Among the 32 patients with a delayed resolution, the ε3/ε3 and ε3/ε4 had the highest proportion in 6 genotypes. The delayed resolution rate of APOE ε3/ε4 (34.21%) was significantly higher than APOE ε3/ε3 (17.78%) (P < 0.05). The delayed resolution rate of APOE ε4 carriers was the highest (33.33%) in the 3 allele carriers, but there was no significant difference among the 3 allele carriers (P = 0.065).

Conclusion: The polymorphism of APOE is relevant to the incidence rate of hemifacial spasms. APOE ε4 allele increases the incidence of hemifacial spasm. The APOE ε4 allele may promote the occurrence of delayed resolution.
Radiomics Analysis for Predicting Epilepsy in Patients With Unruptured Brain Arteriovenous Malformations
Authors: Zhao Shaozhi , Zhao Qi , Jiao Yuming , Li Hao , Weng Jiancong , Huo Ran , Wang Jie , Xu Hongyuan , Zhang Junze , Li Yan , Wu Zhenzhou , Wang Shuo , Cao Yong , Zhao Jizong
Published: December 2021

Objectives: To investigate the association between radiomics features and epilepsy in patients with unruptured brain arteriovenous malformations (bAVMs) and to develop a prediction model based on radiomics features and clinical characteristics for bAVM-related epilepsy.

Methods: This retrospective study enrolled 176 patients with unruptured bAVMs. After manual lesion segmentation, a total of 858 radiomics features were extracted from time-of-flight magnetic resonance angiography (TOF-MRA). A radiomics model was constructed, and a radiomics score was calculated. Meanwhile, the demographic and angioarchitectural characteristics of patients were assessed to build a clinical model. Incorporating the radiomics score and independent clinical risk factors, a combined model was constructed. The performance of the models was assessed with respect to discrimination, calibration, and clinical usefulness.

Results: The clinical model incorporating 3 clinical features had an area under the curve (AUC) of 0.71. Fifteen radiomics features were used to build the radiomics model, which had a higher AUC of 0.78. Incorporating the radiomics score and clinical risk factors, the combined model showed a favorable discrimination ability and calibration, with an AUC of 0.82. Decision curve analysis (DCA) demonstrated that the combined model outperformed the clinical model and radiomics model in terms of clinical usefulness.

Conclusions: The radiomics features extracted from TOF-MRA were associated with epilepsy in patients with unruptured bAVMs. The radiomics-clinical nomogram, which was constructed based on the model incorporating the radiomics score and clinical features, showed favorable predictive efficacy for bAVM-related epilepsy.
Heterogeneity in Meat Food Groups Can Meaningfully Alter Population-Level Intake Estimates of Red Meat and Poultry
Authors: O'Connor Lauren E. , Herrick Kirsten A. , Parsons Ruth , Reedy Jill
Published: December 2021

Heterogeneity in meat food groups hinders interpretation of research regarding meat intake and chronic disease risk. Our objective was to investigate how heterogeneity in red meat (RM) and poultry food groups influences US population intake estimates. Based on a prior systematic review, we created an ontology of methods used to estimate RM [1= unprocessed RM; 2 (reference)= unprocessed RM + processed RM; 3= unprocessed RM + processed RM + processed poultry; and 4=unprocessed RM + processed RM + processed poultry + chicken patties/nuggets/tenders (PNT)] and three for poultry [A=unprocessed poultry; B= unprocessed poultry + PNT; C (reference)= unprocessed poultry + processed poultry + PNT). We applied methods to 2015–18 National Health and Nutrition Examination Survey data to estimate RM and poultry intake prevalence and amount. We estimated and compared intakes within RM and within poultry methods via the NCI Method for individuals ≥2 years old (n = 15,038), adjusted for age, sex, and race/Hispanic origin. We compared the population percentage that exceeded age- and sex-specific RM and poultry allotments from the Dietary Guidelines for Americans recommended eating patterns. The percent that consumed RM ranged from 47 ± 1.2% to 75 ± 0.8% across methods and mean amount ranged from 10.5 ± 0.28 to 18.2 ± 0.35 lean oz-equivalents/week; 38 ± 1.2% to 71 ± 0.7% and 9.8 ± 0.35 to 13.3 ± 0.35 lean oz-equivalents/week across poultry methods. Estimates for higher, but not lower, intake percentiles differed across RM methods. Compared to the reference, Method 1 was ≥3.0 oz-equivalents/week lower from 20th-70th percentiles, ≥6.0 oz-equivalents/week lower from 75th-90th percentiles, and ≥9.0 oz-equivalents/week lower for the 95th percentile. Method 4, but not Method 3, was ≥3.0 oz-equivalents/week higher than the reference from 50 to 95th percentiles. The population percentage that exceeded allotments was 27 ± 1.8% lower for Method 1, 9 ± 0.8% higher for Method 3, and 14 ± 0.9% higher for Method 4 compared to the reference. Differences were less pronounced for poultry. Our analysis quantifies the magnitude of bias introduced by heterogeneous meat food group methodology. Explicit descriptions of meat food groups are important for development of dietary recommendations to ensure that research studies are compared appropriately.
Fish Nutritional Value as an Approach to Children's Nutrition
Authors: Maulu Sahya , Nawanzi Kundananji , Abdel-Tawwab Mohsen , Khalil Hala Saber
Published: December 2021

Fish is a relatively cheap and accessible source of animal protein for human consumption even in rural communities. It is critical for global food and nutrition security, and its consumption continues to increase. As a highly nutritious food, fish consumption is highly recommended for children and expectant mothers for normal growth and development. The present paper explores the nutritional value of fish as approach to nutrition in children and its benefits. The findings reveal that fish is a valuable source of essential amino acids (EAA) and polyunsaturated fatty acids (PUFAs) that play important physiological functions for maintenance and development of fetuses, neonates, and infant brains. Therefore, it could be a valuable tool in the fight against food insecurity and malnutrition. However, fish and fish products are also highly susceptible to contamination by various organic and inorganic compounds that threaten public health. Particularly, heavy metals and biogenic amines (BAs) have shown adverse effects when contaminated fish is consumed, and the effects in children have been worse. Hence, while fish consumption is highly recommended for children's nutrition, the safety and quality of the product should always be checked to safeguard public health.
Coagulation Factor XIII Subunit A Is a Biomarker for Curative Effects and Prognosis in Malignant Solid Tumors, Especially Non-small Cell Lung Cancer
Authors: Luo Yujiao , Li Bin , Li Ji , Zhang Yang , Deng Mingyang , Hu Chunhong , Yan Wenzhe , Zhou Zhiguang , Zhang Guangsen
Published: December 2021

Background

The expression of coagulant factor XIII subunit A (FXIII-A) is significantly increased in some types of cancer cells and tumor-associated macrophages (TAMs). However, few studies on plasma FXIII-A in cancer patients have been conducted and have shown contradictory results, so the relationship of plasma FXIII-A with the progression and prognosis of malignant tumors is still unknown. This study explored the association of plasma FXIII-A with a curative effect and the prognosis of patients with malignant solid tumors.

Methods

We monitored plasma FXIII-A before and during systemic therapy and assessed its relationship with the curative effect and prognosis of malignant solid tumors, especially non-small cell lung carcinoma (NSCLC), by propensity-adjusted, multivariable logistic regression analysis and survival curve, in a prospective study of 1147 patients with different types of malignant solid tumors. The influencing factors of plasma FXIII-A were also analyzed.

Results

We found that D-dimer (D2) = 1 mg/L was the inflection point for the association between FXIII-A and D2: FXIII-A was significantly negatively correlated with D2 (r = -0.39, p < 0.01) and FDP (r = -0.40, p < 0.01) in D2 > 1 mg/L but uncorrelated with D2 or FDP in D2 ≤ 1 mg/L, which provided a method to find a more realistic plasma FXIII-A level. Plasma FXIII-A was positively correlated with age, platelets, lymphocytes, monocytes and carcinoembryonic antigen (CEA). It was found for the first time that plasma FXIII-A was abnormally significantly increased (FXIII-A > 150%) in post-therapy patients, especially in NSCLC and lung metastasis patients, and the incidence of FXIII-A > 150% in lung adenocarcinoma was 16 times higher than that in lung squamous carcinoma. FXIII-A > 150% proved to be an independent risk factor for disease progression in NSCLC patients (OR=5.74, 95% CI: 1.20-27.60, p = 0.029), predicting poor efficacy. The marked decrease in plasma FXIII-A (FXIII-A < 40%) was related to coagulation disorders and poor prognosis with a short survival time (median survival time of 4 months).

Conclusions

Plasma FXIII-A has the potential to be a real-time biomarker with bidirectional indicator effects to assess curative effects and prognosis in malignant solid tumors, especially NSCLC.
The Disassociation of the A20/HSP90 Complex via Downregulation of HSP90 Restores the Effect of A20 Enhancing the Sensitivity of Hepatocellular Carcinoma Cells to Molecular Targeted Agents
Authors: Shen Li-jun , Sun Hui-wei , Chai Yan-yao , Jiang Qi-yu , Zhang Jian , Li Wen-ming , Xin Shao-jie
Published: December 2021

NF-κB (nuclear factor κB) is a regulator of hepatocellular cancer (HCC)-related inflammation and enhances HCC cells’ resistance to antitumor therapies by promoting cell survival and anti-apoptosis processes. In the present work, we demonstrate that A20, a dominant-negative regulator of NF-κB, forms a complex with HSP90 (heat-shock protein 90) and causes the disassociation of the A20/HSP90 complex via downregulation of HSP90. This process restores the antitumor activation of A20. In clinical specimens, the expression level of A20 did not relate with the outcome in patients receiving sorafenib; however, high levels of HSP90 were associated with poor outcomes in these patients. A20 interacted with and formed complexes with HSP90. Knockdown of HSP90 and treatment with an HSP90 inhibitor disassociated the A20/HSP90 complex. Overexpression of A20 alone did not affect HCC cells. Downregulation of HSP90 combined with A20 overexpression restored the effect of A20. Overexpression of A20 repressed the expression of pro-survival and anti-apoptosis-related factors and enhanced HCC cells’ sensitivity to sorafenib. These results suggest that interactions with HSP90 could be potential mechanisms of A20 inactivation and disassociation of the A20/HSP90 complex and could serve as a novel strategy for HCC treatment.
Obesity Indices for Predicting Functional Fitness in Children and Adolescents With Obesity
Authors: Udomittipong Kanokporn , Thabungkan Teerapat , Nimmannit Akarin , Tovichien Prakarn , Charoensitisup Pawinee , Mahoran Khunphon
Published: December 2021

Objectives: We aimed to determine the obesity indices that affect 6-min walk test (6-MWT) distance in children and adolescents with obesity and to compare the 6-MWT distance of obese subjects with that of normal-weight subjects.

Methods: Obese children and adolescents aged 8–15 years and normal-weight age- and gender-matched controls were enrolled. All participants performed the 6-MWT; respiratory muscle strength (RMS), including maximal inspiratory pressure and maximal expiratory pressure; and spirometry. Data between groups were compared. In the obesity group, correlation between obesity indices and pulmonary function testing (6-MWT, RMS, and spirometry) was analyzed.

Results: The study included 37 obese and 31 normal-weight participants. The following parameters were all significantly lower in the obesity group than in the normal-weight group: 6-MWT distance (472.1 ± 66.2 vs. 513.7 ± 72.9 m; p = 0.02), forced expiratory volume in one second/forced vital capacity (FEV1/FVC) (85.3 ± 6.7 vs. 90.8 ± 4.5%; p < 0.001), forced expiratory flow rate within 25–75% of vital capacity (FEF25−75%) (89.8 ± 23.1 vs. 100.4 ± 17.3 %predicted; p = 0.04), and peak expiratory flow (PEF) (81.2 ± 15 vs. 92.5 ± 19.6 %predicted; p = 0.01). The obesity indices that significantly correlated with 6-MWT distance in obese children and adolescents were waist circumference-to-height ratio (WC/Ht) (r = −0.51; p = 0.001), waist circumference (r = −0.39; p = 0.002), body mass index (BMI) (r = −0.36; p = 0.03), and chest circumference (r = −0.35; p = 0.04). WC/Ht was the only independent predictor of 6-MWT distance by multiple linear regression.

Conclusions: Children and adolescents with obesity had a significantly shorter 6-MWT distance compared with normal-weight subjects. WC/Ht was the only independent predictor of 6-MWT distance in the obesity group.
Involvement of P-gp on Reversing Multidrug Resistance Effects of 23-Hydroxybetulinic Acid on Chemotherapeutic Agents
Authors: Liu Zhihao , Wen Xiaozhou , Wang Guangji , Zhou Ying
Published: December 2021

Betulinic acid (BA) and 23-Hydroxybetulinic acid (23-HBA) are natural products with similar structures, which show a range of biological effects including cytotoxicity activity. The aim of current research was to investigate and evaluate the combinational cytotoxicity of BA and 23-HBA with chemotherapeutic agents in vitro, and to clarify the potential interaction and related mechanism with P-gp. Instead of BA, 23-HBA could increase cytotoxicity of MCF-7/ADR cells to adriamaycin (ADR) and vincristine (VCR). The intracellular accumulation of ADR/VCR in MCF-7/ADR cells was obviously increased in the presence of 23-HBA. Furthermore, 23-HBA could show dose-dependent increase on the transport of VCR and digoxin, which are typical P-gp substrates, in both MDCK-MDR1 and Caco-2 cells. However, the transport of BA and 23-HBA was not influenced by P-gp inhibition in MDCK-MDR1 cells. MDR1 shift assay and molecular docking model suggested that both compounds showed interaction with P-gp, yet the binding affinity and sites are different. In conclusion, 23-HBA could strongly improve the efficacy of anti-tumor agents in multidrug resistance (MDR) cells, which was related to P-gp inhibition. The MDR1 shift assay and molecular docking study further revealed that 23-HBA and BA showed different interaction modes with P-gp.
What Bias Management Can Learn From Change Management? Utilizing Change Framework to Review and Explore Bias Strategies
Authors: Nguyen-Phuong-Mai Mai
Published: December 2021

This paper conducted a preliminary study of reviewing and exploring bias strategies using a framework of a different discipline: change management. The hypothesis here is: If the major problem of implicit bias strategies is that they do not translate into actual changes in behaviors, then it could be helpful to learn from studies that have contributed to successful change interventions such as reward management, social neuroscience, health behavioral change, and cognitive behavioral therapy. The result of this integrated approach is: (1) current bias strategies can be improved and new ones can be developed with insight from adjunct study fields in change management; (2) it could be more sustainable to invest in a holistic and proactive bias strategy approach that targets the social environment, eliminating the very condition under which biases arise; and (3) while implicit biases are automatic, future studies should invest more on strategies that empower people as “change agents” who can act proactively to regulate the very environment that gives rise to their biased thoughts and behaviors.
The Emerging Role of SPECT Functional Neuroimaging in Schizophrenia and Depression
Authors: Kalyoncu Anil , Gonul Ali Saffet
Published: December 2021

Over the last three decades, the brain's functional and structural imaging has become more prevalent in psychiatric research and clinical application. A substantial amount of psychiatric research is based on neuroimaging studies that aim to illuminate neural mechanisms underlying psychiatric disorders. Single-photon emission computed tomography (SPECT) is one of those developing brain imaging techniques among various neuroimaging technologies. Compared to PET, SPECT imaging is easy, less expensive, and practical for radioligand use. Current technologies increased the spatial accuracy of SPECT findings by combining the functional SPECT images with CT images. The radioligands bind to receptors such as 5-hydroxytryptamine 2A, and dopamine transporters can help us comprehend neural mechanisms of psychiatric disorders based on neurochemicals. This mini-review focuses on the SPECT-based neuroimaging approach to psychiatric disorders such as schizophrenia and major depressive disorder (MDD). Research-based SPECT findings of psychiatric disorders indicate that there are notable changes in biochemical components in certain disorders. Even though many studies support that SPECT can be used in psychiatric clinical practice, we still only use subjective diagnostic criteria such as the Diagnostic Statistical Manual of Mental Disorders (DSM-5). Glimpsing into the brain's biochemical world via SPECT in psychiatric disorders provides more information about the pathophysiology and future implication of neuroimaging techniques.
Factors Influencing COVID-19 Vaccination Intentions Among College Students: A Cross-Sectional Study in India
Authors: Jain Lovely , Vij Jatina , Satapathy Prakasini , Chakrapani Venkatesan , Patro Binod , Kar Sitanshu Sekhar , Singh Ritesh , Pala Star , Sankhe Lalit , Modi Bhavesh , Bali Surya , Rustagi Neeti , Rajagopal Vineeth , Kiran Tanvi , Goel Kapil , Aggarwal Arun Kumar , Gupta Madhu , Padhi Bijaya Kumar
Published: December 2021

Background: Students act as messengers in delivering effective messages for better uptake of health-promoting behavior. Understanding their knowledge about coronavirus disease 2019 (COVID-19), intentions to use the COVID-19 vaccine, and its associated factors will help develop promising strategies in vaccine promotion concerning the current COVID-19 pandemic.

Methods: A cross-sectional online survey was carried out among students in the healthcare and non-healthcare sectors to assess their intentions to get vaccinated against the COVID-19. A non-probability snowball sampling technique was used to recruit study participants (N = 655) through social media platforms and emails. Study participants were recruited across the country, including six major geographical regions (Eastern, Western, Northern, Southern, North-east, and Central) in India between November 2020 and January 2021 before the introduction of the COVID-19 vaccine. Descriptive statistics were used to present the sociodemographic, and vaccine-related behaviors of the study participants. Key determinants that likely predict vaccine acceptance among students were modeled using logistic regression analysis. For each analysis, p < 0.05 was considered significant.

Results: A total of 655 students were recruited, 323 from healthcare and 332 from non-healthcare sectors, to assess their intentions to receive the COVID-19 vaccine. Of the 655 students, 63.8% expressed intentions to receive the COVID-19 vaccine. The acceptance was higher among non-healthcare students (54.07 vs. 45.93%). At the time of the study, 27.8% of the students indicated that they had been exposed to a confirmed COVID-19 patient. A vast majority (93.4%) of the students knew about the COVID-19 virus, and most (89.3%) of them were aware of the development of a COVID-19 vaccine. The history of vaccine hesitancy was found to be low (17.1%). Only one-third (33.4%) of the students showed concern about contracting COVID-19. Trust in the healthcare system [adjusted odds ratio (aOR): 4.13; (95% CI: 2.83–6.04), p < 0.00] and trust in domestic vaccines [aOR: 1.46; (95% CI: 1.02–2.08), p < 0.05] emerged as the significant predictors of student's intention to get vaccinated. Higher acceptance for vaccine was observed among students in the non-healthcare [aOR: 1.982; 95% CI: 1.334–2.946, p < 0.00].

Conclusion: This study shows that the Indian college students had relatively high levels of positive intentions to receive COVID-19 vaccines, although about one-third were not sure or unwilling to receive the vaccine, highlighting possible vaccine hesitancy. Informational campaigns and other strategies to address vaccine hesitancy are needed to promote uptake of COVID-19 vaccines.
Using Whole Genome Sequencing to Trace, Control and Characterize a Hospital Infection of IMP-4-Producing Klebsiella pneumoniae ST2253 in a Neonatal Unit in a Tertiary Hospital, China
Authors: Bai Yuanyuan , Shao Chunhong , Hao Yingying , Wang Yueling , Jin Yan
Published: December 2021

Background: The purpose of this study is to use whole genome sequencing (WGS) combined with epidemiological data to track a hospital infection of the carbapenem-resistant Klebsiella pneumoniae (CRKP), which affected 3 neonatal patients in the neonatal intensive care unit (NICU).

Methods: The minimum inhibitory concentrations for the antimicrobial agents were determined according to the guidelines of the Clinical and Laboratory Standards Institute. Beta-lactamases were investigated using the polymerase chain reaction and DNA sequencing. The transferability of the plasmid was investigated by a conjugation experiment. The clonal relationships were evaluated using multilocus sequence typing (MLST) and pulsed-field gel electrophoresis (PFGE). WGS and single nucleotide polymorphisms (SNPs) analysis were performed on the CRKP isolates to investigate how the infection might progress.

Results: Nine CRKP isolates were obtained from the NICU, seven from three patients, one from a duster cloth and one from the hand of a nurse, they all harbored blaIMP-4. Other resistance genes including blaKPC-2, blaIMP-4, blaSHV-1, blaTEM-1, blaCTX-M-15, and blaDHA-1 were also detected. PFGE analysis showed that IMP-4-producing K. pneumoniae were clonally related, and MLST assigned them to a new sequence type 2253. The SNP variations throughout the genome divided the 9 strains into three clades. Clade 1 comprised 7 strains (K1- K2 and K4-K8), whereas clade 2 and 3 consisted of only one strain each: K3 and K9, respectively.The sputum isolate K3 from patient 3 was the most distinct one differing from the other eight isolates by 239-275 SNPs.

Conclusions: This is a report of using WGS to track a hospital infecion of IMP-4-producing K. pneumoniae ST2253 among neonates. Nosocomial surveillance systems are needed to limit the spread of the infection caused by these pathogens resulting from the environmental exposure in NICUs.
Generalization Across Acetone Peroxide Homemade Explosives by Detection Dogs
Authors: Lazarowski Lucia , Simon Alison , Krichbaum Sarah , Angle Craig , Singletary Melissa , Waggoner Paul , Van Arsdale Kelly , Barrow Jason A.
Published: December 2021

Effective explosives detection requires dogs to generalize their response to untrained variations of targets that are related to those with which they were trained. Previous research suggests that dogs tend to be highly specific to their trained odors, and are sensitive to alterations in odor profiles. Triacetone triperoxide (TATP) is an increasingly popular homemade explosive due to the widespread accessibility of starting materials. The large variety of reagent sources and production approaches yields high variability in deployed formulations. Whether dogs trained with pure forms of TATP generalize to other variations is unknown, representing a potentially significant security gap. In the current study, we tested dogs (n = 11) previously trained to detect pure TATP with four variants: diacetone diperoxide (DADP), a homologue often created as a TATP byproduct, and three different clandestine TATP formulations designed to emulate those used by terrorists or insurgents. On average, dogs detected each untrained variant at rates equivalent to the trained TATP (ps > 0.07), with individual variability in first-trial alerts for some of the variants. Chemical analyses paralleled the canine results, showing distinct similarities and differences. For the TATP samples, the laboratory-grade was the purest sample tested and did not contain DADP or the TATP homologue that the three clandestine versions showed in their respective headspace profiles. The headspace results showed that each sample could be clearly identified as TATP, yet they showed recognizable differences due to their individual syntheses. These findings suggest that training on pure TATP may be effective for generalization to untrained variants. Further research is necessary to identify factors that influence individual variation in generalization between dogs, as well as other explosives.
Primary and Recurrent Repair of Incisional Hernia Based on Biomechanical Considerations to Avoid Mesh-Related Complications
Authors: Nessel Regine , Löffler Thorsten , Rinn Johannes , Lösel Philipp , Voss Samuel , Heuveline Vincent , Vollmer Matthias , Görich Johannes , Ludwig Yannique-Maximilian , Al-Hileh Luai , Kallinowski Friedrich
Published: December 2021

Aim: Mechanical principles successfully guide the construction of polymer material composites in engineering. Since the abdominal wall is a polymer composite augmented with a textile during incisional hernia repair we ask: can incisional hernia be repaired safely and durably based on biomechanical principles?

Material and Methods: Repair materials were assessed on a self-built bench test using pulse loads to elude influences on the reconstruction of the abdominal wall. Tissue elasticity was analyzed preoperatively as needed with computed tomography at rest and during Valsalva's maneuver. Preoperatively, the critical retention force of the reconstruction to pulse loads was calculated and a biomechanically durable repair was designed based on the needs of the individual patient. Intraoperatively, the design was adjusted as needed. Hernia meshes with high grip factors (Progrip®, Dahlhausen® Cicat) were used for the repairs. Mesh sizes, fixation elements and reconstructive details were oriented on the biomechanical design. All patients recieved single-shot antibiosis. Patients were discharged after full ambulation was achieved.

Results: A total of 163 patients (82 males and 81 females) were treated for incisional hernia in four hospitals by ten surgeons. Primary hernia was repaired in 119 patients. Recurrent hernia was operated on in 44 cases. Recurrent hernia was significantly larger (median 161 cm2 vs. 78 cm2; u-test: p = 0.00714). Re-do surgery took significantly longer (median 229 min vs. 150 min; p < 0.00001) since recurrent disease required more often transversus abdominis release (70% vs. 47%). GRIP tended to be higher in recurrent repair (p = 0.01828). Complication rates (15%) and hospital stay were the same (6 vs. 6 days; p = 0.28462). After 1 year, no recurrence was detected in either group. Pain levels were equally low in both primary and recurrent hernia repairs (median NAS = 0 in both groups at rest and under load, p = 0.88866).

Conclusion: Incisional hernia can safely and durably be repaired based on biomechanical principles both in primary and recurrent disease. The GRIP concept provides a base for the application of biomechanical principles in incisional hernia repair.
Pearl Grey Shading Net Boosts the Accumulation of Total Carotenoids and Phenolic Compounds That Accentuate the Antioxidant Activity of Processing Tomato
Authors: Formisano Luigi , Ciriello Michele , El-Nakhel Christophe , Poledica Milena , Starace Giuseppe , Graziani Giulia , Ritieni Alberto , De Pascale Stefania , Rouphael Youssef
Published: December 2021

Tomato (Solanum lycopersicum L.) is one of the most consumed vegetables worldwide due to its low caloric intake and high fiber, minerals, and phenolic compounds, making it a high-quality functional food. However, fruit quality attributes can be affected by pre-harvest factors, especially environmental stresses. This research aimed to evaluate the influence of two shading nets (white net −30% and pearl grey net −40% shading degree) on the yield and phytochemical profile of tomato fruits grown in summer under the Mediterranean climate. Mineral and organic acid content (by ion chromatography-IC), phenolic profile (by ultra-high performance liquid chromatography-UHPLC coupled with an Orbitrap high-resolution mass spectrometry-HRMS), carotenoid content (by high-performance liquid chromatography with diode array detection-HPLC-DAD), and antioxidant activities DPPH, ABTS, and FRAP (by UV-VIS spectrophotometry) were determined. Tomato fruits grown under the pearl grey net recorded the highest values of total phenolic compounds (14,997 µg 100 g−1 of fresh weight) and antioxidant activities DPPH, ABTS, and FRAP, without affecting either fruit color or marketable yield. The reduction of solar radiation through pearl grey nets proved to be an excellent tool to increase the phytochemical quality of tomato fruits during summer cultivation in a Mediterranean environment.
Fast Orbital-Free Full-Potential Calculations for Large Nano Objects: C, Al and Ti
Authors: Zavodinsky Victor G. , Gorkusha Olga A.
Published: December 2021

In the context of a full-potential orbital-free approach for the modeling of multi-atomic systems we investigated the dependence of the cohesive energies and bulk elastic modules of the large nanosystems Cn (n is up to 4096 atoms), Aln (n is up to 23,328 atoms) and tin (n is up to 2160 atoms). It was shown that the cohesive energies and elastic modules tend towards bulk crystal values at n ≈ 3000 for Cn systems, at n ≈ 1500 for Tin and at n ≈ 20,000 for Aln. The execution time for one energy iteration for Ti23328 was only 23 min.
Control of Blood Coagulation by Hemocompatible Material Surfaces—A Review
Authors: Kuchinka Janna , Willems Christian , Telyshev Dmitry V. , Groth Thomas
Published: December 2021

Hemocompatibility of biomaterials in contact with the blood of patients is a prerequisite for the short- and long-term applications of medical devices such as cardiovascular stents, artificial heart valves, ventricular assist devices, catheters, blood linings and extracorporeal devices such as artificial kidneys (hemodialysis), extracorporeal membrane oxygenation (ECMO) and cardiopulmonary bypass. Although lower blood compatibility of materials and devices can be handled with systemic anticoagulation, its side effects, such as an increased bleeding risk, make materials that have a better hemocompatibility highly desirable, particularly in long-term applications. This review provides a short overview on the basic mechanisms of blood coagulation including plasmatic coagulation and blood platelets, as well as the activation of the complement system. Furthermore, a survey on concepts for tailoring the blood response of biomaterials to improve the hemocompatibility of medical devices is given which covers different approaches that either inhibit interaction of material surfaces with blood components completely or control the response of the coagulation system, blood platelets and leukocytes.
Hepatokines and Non-Alcoholic Fatty Liver Disease: Linking Liver Pathophysiology to Metabolism
Authors: Kim Tae Hyun , Hong Dong-Gyun , Yang Yoon Mee
Published: December 2021

The liver plays a key role in maintaining energy homeostasis by sensing and responding to changes in nutrient status under various metabolic conditions. Recently highlighted as a major endocrine organ, the contribution of the liver to systemic glucose and lipid metabolism is primarily attributed to signaling crosstalk between multiple organs via hepatic hormones, cytokines, and hepatokines. Hepatokines are hormone-like proteins secreted by hepatocytes, and a number of these have been associated with extra-hepatic metabolic regulation. Mounting evidence has revealed that the secretory profiles of hepatokines are significantly altered in non-alcoholic fatty liver disease (NAFLD), the most common hepatic manifestation, which frequently precedes other metabolic disorders, including insulin resistance and type 2 diabetes. Therefore, deciphering the mechanism of hepatokine-mediated inter-organ communication is essential for understanding the complex metabolic network between tissues, as well as for the identification of novel diagnostic and/or therapeutic targets in metabolic disease. In this review, we describe the hepatokine-driven inter-organ crosstalk in the context of liver pathophysiology, with a particular focus on NAFLD progression. Moreover, we summarize key hepatokines and their molecular mechanisms of metabolic control in non-hepatic tissues, discussing their potential as novel biomarkers and therapeutic targets in the treatment of metabolic diseases.
“It’s Very Stressful for Children”: Elementary School-Aged Children’s Psychological Wellbeing during COVID-19 in Canada
Authors: Maunula Laena , Dabravolskaj Julia , Maximova Katerina , Sim Shannon , Willows Noreen , Newton Amanda S. , Veugelers Paul J.
Published: December 2021

Emerging evidence suggests that the COVID-19 pandemic and associated public health measures, including lockdowns and school closures, have been negatively affecting school-aged children’s psychological wellbeing. To identify supports required to mitigate the negative impacts of the COVID-19 pandemic, we gathered in-depth information on school-aged children’s and parents’ lived experiences of COVID-19 and perceptions of its impact on psychological wellbeing in grade 4–6 students in Canada. In this qualitative study, we conducted telephone-based semi-structured interviews with parents (n = 15) and their children (n = 16) from six schools in small and mid-sized northern prairie communities in Canada. Interviews were analyzed through thematic analysis. Three interrelated themes have emerged. First, the start of COVID-19 brought sudden and stressful changes to children’s lives. Second, disruptions to daily life led to feelings of boredom and lack of purpose. Third, limited opportunities for social interaction led to loneliness and an increase in screen time to seek social connection with peers. Results underscore the need for resilience building and the promotion of positive coping strategies to help school-aged children thrive in the event of future health crises or natural disasters.
The Solar Radiation Climate of Greece
Authors: Kambezidis Harry D.
Published: December 2021

The solar radiation climate of Greece is investigated by using typical meteorological years (TMYs) at 43 locations in Greece based on a period of 10 years (2007–2016). These TMYs include hourly values of global, Hg, and diffuse, Hd, horizontal irradiances from which the direct, Hb, horizontal irradiance is estimated. Use of the diffuse fraction, kd, and the definition of the direct-beam fraction, kb, is made. Solar maps of annual mean Hg, Hd, kd, and kb are prepared over Greece under clear and all skies, which show interesting but explainable patterns. Additionally, the intra-annual and seasonal variabilities of these parameters are presented and regression equations are provided. It is found that Hb has a negative linear relationship with kd; the same applies to Hg with respect to kd or with respect to the latitude of the site. It is shown that kd (kb) can reflect the scattering (absorption) effects of the atmosphere on solar radiation, and, therefore, this parameter can be used as a scattering (absorption) index. An analysis shows that the influence of solar variability (sunspot cycle) on the Hg levels over Athens in the period 1953–2018 was less dominant than the anthropogenic (air-pollution) footprint that caused the global dimming effect.
Alteriqipengyuania abyssalis sp. nov., a Novel Member of the Class Alphaproteobacteria Isolated from Sponge, and Emended Description of the Genus Alteriqipengyuania
Authors: Tareen Sanaullah , Risdian Chandra , Müsken Mathias , Wink Joachim
Published: December 2021

A novel Gram-negative, aerobic, motile, lemon-yellow-colored, and non-spore-forming rod-shaped bacterium designated strain NZ-12BT was isolated in February 2021 from a sponge species (Crateromorpha) collected at the southern Kermadec Ridge, Pacific Ocean, New Zealand. Comparative 16S rRNA gene-based analyses indicated that strain NZ-12BT shared 98.58%, 96.44%, 96.23%, and 94.78% 16S rRNA sequence similarity to Alteriqipengyuania lutimaris S-5T, Qipengyuania pelagi UST081027-248T, Qipengyuania citreus RE35F/1T, and Alteriqipengyuania halimionae CPA5T, respectively. The major respiratory quinone was ubiquinone-10(Q-10). The polar lipid profile of NZ-12BT was composed of diphosphatidylglycerol, phosphatidylethanolamine, phosphatidyl-N-methyl-ethanolamine, phosphatidylcholine, sphingoglycolipid, phosphatidylglycerol, one unknown polar lipid, three unknown phospholipids, and three unknown glycolipids. The major fatty acids of strain NZ-12BT were C18:1ω12t, C16:0, C17:1ω6c, and C14:02-OH. Carotenoids were present. Genome mining analysis revealed a biosynthetic gene cluster encoding for the terpene biosynthesis. Pairwise ANI and dDDH values of strain NZ-12BT and closely related phylogenetic neighbors were below the threshold values of 95% and 70%, respectively. The DNA G+C content was 65.4 mol% (by genome). Based on data obtained by a polyphasic approach, type strain NZ-12BT (=DSM 112810T = NCCB 100841T) represents a novel species of the genus Alteriqipengyuania, for which the name Alteriqipengyuania abyssalis sp. nov. is proposed.
An Enhanced Control Strategy for Mitigation of State-Transition Oscillation Phenomena in Grid-Forming Self-Synchronized Converter System with Islanded Power System
Authors: Kim Ki Ryong , Lee Sangjung , Lee Jong-Pil , Kang Jaesik
Published: December 2021

This paper proposes an enhanced control strategy for mitigating state-transition oscillations in active and reactive power responses of self-synchronized converter system to secure the islanded power system stability. The self-synchronized converter is well known for “grid-forming” that is able to operate to stand-alone mode (SAM) providing grid voltage and frequency without phase synchronization units. Although the grid-forming (GFM) is self-synchronized, the inherent synchronization principle causes system degradation in which should maintain a point of common coupling (PCC) voltage for critical loads as well as transitions from grid-connected mode (GCM) to SAM and vice versa. Therefore, this paper focuses on resolving the inherent oscillatory issues in GFM self-synchronized converter system (especially adopted ‘synchronverter’ principle), and proposes a control strategy for controllability improvement based on stability analysis for smooth state-transition under islanded power system. The efficacy of the proposed control method is verified through a high-fidelity electromagnetic transient (EMT) simulation with case studies on 30kW synchronverter system and further experimental hardware-in-loop system (HILS) test with Opal-RT (OP-5707) platform.
Simulation of Crop Yields Grown under Agro-Photovoltaic Panels: A Case Study in Chonnam Province, South Korea
Authors: Ko Jonghan , Cho Jaeil , Choi Jinsil , Yoon Chang-Yong , An Kyu-Nam , Ban Jong-Oh , Kim Dong-Kwan
Published: December 2021

Agro-photovoltaic systems are of interest to the agricultural industry because they can produce both electricity and crops in the same farm field. In this study, we aimed to simulate staple crop yields under agro-photovoltaic panels (AVP) based on the calibration of crop models in the decision support system for agricultural technology (DSSAT) 4.6 package. We reproduced yield data of paddy rice, barley, and soybean grown in AVP experimental fields in Bosung and Naju, Chonnam Province, South Korea, using CERES-Rice, CERES-Barley, and CROPGRO-Soybean models. A geospatial crop simulation modeling (GCSM) system, developed using the crop models, was then applied to simulate the regional variations in crop yield according to solar radiation reduction scenarios. Simulated crop yields agreed with the corresponding measured crop yields with root mean squared errors of 0.29-ton ha−1 for paddy rice, 0.46-ton ha−1 for barley, and 0.31-ton ha−1 for soybean, showing no significant differences according to paired sample t-tests. We also demonstrated that the GCSM system could effectively simulate spatiotemporal variations in crop yields due to the solar radiation reduction regimes. An additional advancement in the GCSM design could help prepare a sustainable adaption strategy and understand future food supply insecurity.
Possibilities and Generated Emissions of Using Wood and Lignin Biofuel for Heat Production
Authors: Chlebnikovas Aleksandras , Paliulis Dainius , Kilikevičius Artūras , Selech Jaroslaw , Matijošius Jonas , Kilikevičienė Kristina , Vainorius Darius
Published: December 2021

Energy (including thermal) needs are growing rapidly worldwide thus leading to increased energy production. Considering stricter requirements for the employment of non-renewable energy sources, the use of biofuel in energy facilities appears as one of the best options, having high potential for growth that will increase in the long run both in the Baltic region and the European Union as a whole. This publication investigates the possibilities of using various blends of biofuel containing lignin for heat production and emissions to the air during combustion processes. The paper examines the chemical composition of lignin and bottom ash and explores the impact of a different ratio of lignin in the fuel mixture, the effect of the power of biofuel combustion plants (boilers) and the influence of fuel supply to the combustion chamber on gaseous pollutants (CO, NOx, SO2) and particulate matter emissions. The results of the conducted study demonstrate that, in contrast to pure lignin, the concentrations of alkali metals, boron and, to a lesser extent, nickel and chlorine have increased the most in bottom ash. The use of lignin can effectively reduce the need for conventional biofuel by 30–100% and to increase the temperature of exhaust gases. The lowest emissions have been observed using a mixture of 30% of lignin and biofuel at the lowest range of power (2.5–4 MW). Under the optimal oxygen/temperature mode, carbon monoxide concentrations are approximately 20 mg/Nm3 and those of nitrogen oxides–500 mg/Nm3. Particulate matter emissions reach 150 mg/Nm3, and hence applying air treatment equipment is required.