bluuebunny/crossref_metadata_2025 huggingface dataset:
Soil Microbial Communities Responses to Multiple Generations’ Successive Planting of Eucalyptus Trees
Authors: Jiang Chenyang , He Yaqin , Cui Yuhong , Lan Yahui , Zhang Han , Ye Shaoming
Published: July 2024

The impacts of the successive planting of Eucalyptus on soil microbial communities and their underlying mechanisms remain unknown, limiting our understanding of its long-term effects on soil ecosystems. This study examined the 0–20 cm and 20–40 cm soil layers, investigating changes in soil bacterial and fungal communities after multiple plantings of Eucalyptus grandis × urophylla using high-throughput sequencing. Furthermore, we used the structural equation model (SEM) to analyze the relationships among soil active organic carbon (SAOC), enzyme activity, and microbial diversity. The study showed that the multigeneration successive planting of Eucalyptus significantly increased the soil bulk density and decreased the soil physicochemical properties and soil enzyme activities (p < 0.05). The soil’s dominant microbial compositions were unchanged in the two soil horizons, but the relative abundances of some dominant phyla (e.g., Crenarchaeota, Basidiomycota and Actinobacteriota) were affected by successive planting. The variability in the microbial community structure was influenced primarily by the soil water content (SWC) and organic carbon (p < 0.05). The microbial community diversity in the 20–40 cm horizon was significantly affected by multigeneration succession (p < 0.05). SWC was the core factor driving microbial community diversity. SEM results showed that multigeneration successive planting obviously limits SAOC fractions and enzyme activities, negatively affecting soil microbial diversity. Our study highlights the impact of the multigeneration successive planting of Eucalyptus on soil microbial community structure and suggests adjustments in forestry practices to mitigate soil degradation.
Challenges and Prospects of Applying Nanocellulose for the Conservation of Wooden Cultural Heritage—A Review
Authors: Kryg Paulina , Mazela Bartłomiej , Perdoch Waldemar , Broda Magdalena
Published: July 2024

Nanocellulose is a nanostructured form of cellulose, which retains valuable properties of cellulose such as renewability, biodegradability, biocompatibility, nontoxicity, and sustainability and, due to its nano-sizes, acquires several useful features, such as low density, high aspect ratio and stiffness, a high specific surface area, easy processing and functionalisation, and good thermal stability. All these make it a highly versatile green nanomaterial for multiple applications, including the conservation of cultural heritage. This review provides the basic characteristics of all nanocellulose forms and their properties and presents the results of recent research on nanocellulose formulations applied for conserving historical artefacts made of wood and paper, discussing their effectiveness, advantages, and disadvantages. Pure nanocellulose proves particularly useful for conserving historical paper since it can form a durable, stable coating that consolidates the surface of a degraded object. However, it is not as effective for wood consolidation treatment due to its poor penetration into the wood structure. The research shows that this disadvantage can be overcome by various chemical modifications of the nanocellulose surface; owing to its specific chemistry, nanocellulose can be easily functionalised and, thus, enriched with the properties required for an effective wood consolidant. Moreover, combining nanocellulose with other agents can also improve its properties, adding new functionalities to the developed supramolecular systems that would address multiple needs of degraded artefacts. Since the broad use of nanocellulose in conservation practice depends on its properties, price, and availability, the development of new, effective, green, and industrial-scale production methods ensuring the manufacture of nanocellulose particles with standardised properties is necessary. Nanocellulose is an interesting and very promising solution for the conservation of cultural heritage artefacts made of paper and wood; however, further thorough interdisciplinary research is still necessary to devise new green methods of its production as well as develop new effective and sustainable nanocellulose-based conservation agents, which would replace synthetic, non-sustainable consolidants and enable proper conservation of historical objects of our cultural heritage.
Impact of Digital Development and Technology Innovation on the Marine Fishery Economy Quality
Authors: Jiang Yiying , Huang Lei , Liu Yang , Wang Shuang
Published: July 2024

The digital economy plays an important role in promoting the high quality and sustainable development of the marine fishery economy. Based on the panel data of the digital economy and marine fishery development from 2011 to 2022, we firstly adopted the entropy method to comprehensively evaluate the economy quality level of the digital economy and marine fishing. Secondly, we constructed a two-way fixed effect model to empirically analyze the impact of digital economy development on the marine fishery economy quality and the mediating role of marine green science and technology innovation, and further explored the regional heterogeneity of the digital economy on the marine fishery economy quality. Several findings emerge. The digital economy and the marine fishery economy quality level was relatively low and showed a fluctuating increase. The development of the digital economy can significantly improve the economy quality of marine fishing, and the conclusion was still valid after considering a series of robustness tests. The digital economy can drive the development quality of the marine fishery economy through marine green technology innovation. This paper proposes fostering the advancement of digital technology in the marine fishery sector, to effectively harness the innovation-driven potential of the digital economy, so as to facilitate the harmonious development of both the marine and digital economies.
Korean Red Ginseng Improves Oxidative Stress-Induced Hepatic Insulin Resistance via Enhancing Mitophagy
Authors: Rustamov Nodir , Ma Yuanqiang , Park Jeong-Su , Wang Feng , Ma Hwan , Sui Guoyan , Moon Gahye , Yoo Hwan-Soo , Roh Yoon-Seok
Published: July 2024

This study explored the potential of saponins from Korean Red Ginseng to target the PINK1/Parkin mitophagy pathway, aiming to enhance insulin sensitivity in hepatocytes—a key factor in metabolic disorders like metabolic dysfunction-associated steatotic liver disease (MASLD) and type 2 diabetes. Results from both in vitro and in vivo experiments showed increased expression of PINK1 and Parkin, activating mitophagy and reducing oxidative stress through reduction in mitochondrial and total reactive oxygen species. Additionally, improvements in insulin signaling were observed, including the upregulation of phosphorylated IRS and AKT, and downregulation of gluconeogenic enzymes, underscoring the saponins’ efficacy in boosting insulin sensitivity. The findings highlighted Korean Red Ginseng-derived saponins as potential treatments for insulin resistance and related metabolic conditions.
Antioxidant-Enhanced Alginate Beads for Stabilizing Rapeseed Oil: Utilizing Extracts from Post-Distillation Waste Residues of Rosemary
Authors: Tsitlakidou Petroula , Kamplioni Despina , Kyriakoudi Anastasia , Irakli Maria , Biliaderis Costas G. , Mourtzinos Ioannis
Published: July 2024

An eco-friendly extraction process of polyphenols from conventional dried rosemary tissues and post-distillation waste residues was applied using β-cyclodextrin as a co-solvent. The aqueous extracts were characterized by measuring the total phenolic content, and their phenolic compounds were identified and quantified by LC-MS. Sodium alginate solutions (2% w/w) with/without incorporation of rosemary aqueous extracts were prepared and used for the preparation of O/W emulsions containing 20% rapeseed oil and an 80% water phase. Hydrogel beads were then stored at 20 °C for 28 days. The quality of encapsulated oil during storage was evaluated by measurements of the peroxide value, p-anisidine value, free fatty acids, total oxidation value, and fatty acid composition, whilst the aqueous phase of the beads was analyzed for its total extractable phenolic content (TEPC). The experimental findings indicate that the incorporation of aqueous extracts from post-distillation rosemary residues in emulsion-filled hydrogel beads resulted in the lowest level of oxidation products in the encapsulated rapeseed oil (PV = 10.61 ± 0.02 meq/Kg oil, p-AnV = 4.41 ± 0.09, and FFA = 0.14 ± 0.00, expressed as % oleic acid content), indicating an acceptable oil quality until the end of the storage period.
Synthesis of Modified Nano-Hydrotalcite Clay by Micellar Method and Its Application as Gel-like Crude Oil Flow Improver
Authors: Du Yingna , Slaný Michal , Hu Tianbao , Lian Yubo , Bai Yingxue , Ke Congyu , Chen Gang
Published: July 2024

The network formed by wax precipitation at low temperature and colloid asphaltene at high temperature leads to poor fluidity of heavy oil, and the gelling characteristics of crude oil lead to pipeline blockage, which affects the exploitation, transportation and refining of crude oil. This work prepares a series of cationic surfactant-modified nano hydrotalcite (CSNH) to weaken the network structure and enhance the fluidity of the crude oil by the interaction of organic and inorganic functional groups on the CSNH surface and the components of the crude oil. The results show that CSNHs can all reduce the viscosity of crude oil from different oilfields, among which BTNH can reduce the viscosity of Yanglou (YL) crude oil by 98.8% (31 °C) and depress the pour point by 16.0 °C at most. In the investigation of the universality of crude oil, the modified hydrotalcite was applied to the mixed crude oil (CQH) of Changqing Oilfield, the crude oil (J76) of Jidong Oilfield, the high pour point oil (GN) of Huabei Oilfield, and the crude oil (HQ) of Tuha Oilfield. The viscosity reduction rates were 53.2%, 86.2%, 42.7%, and 63.8%, respectively. The characterization of this nano material confirms the modification of quaternary ammonium cationic surfactant on the surface, resulting in a smaller particle size, and the nano particles are stable under conventional conditions. The mechanism of viscosity and pour point reduction in crude oil by BTNH was discussed by DSC and optical microscopy analysis. The OH- and long-chain alkyl groups on the BTNH surface may interact with the resins, asphaltene and wax through hydrogen bonding and co-crystal, weakening or dispersing their aggregates, thereby improving the fluidity of crude oil. Finally, a cost evaluation was conducted on BTNH, providing useful support for subsequent promotion and application.
Optimism, Resilience, and General Self-Efficacy Predict Lower Somatic Burden during the COVID-19 Pandemic
Authors: Zolotareva Alena , Khegay Anna , Voevodina Elena , Kritsky Igor , Ibragimov Roman , Nizovskih Nina , Konstantinov Vsevolod , Malenova Arina , Belasheva Irina , Khodyreva Natalia , Preobrazhensky Vladimir , Azanova Kristina , Sarapultseva Lilia , Galimova Almira , Atamanova Inna , Kulik Anastasia , Neyaskina Yulia , Lapshin Maksim , Mamonova Marina , Kadyrov Ruslan , Volkova Ekaterina , Drachkova Viktoria , Seryy Andrey , Kosheleva Natalia , Osin Evgeny
Published: July 2024

There is scarce evidence of a relationship between positive and psychosomatic characteristics. This study aimed to examine the associations of somatic burden with psychological resources such as optimism, resilience, and general self-efficacy. Russian participants (n = 1020) completed measures of psychological resources at Time 1 and somatic symptoms at Time 2. The results showed that somatic burden decreased with greater levels of optimism, resilience, and general self-efficacy. Regarding health and sociodemographic characteristics, female sex increased somatic burden in the model with optimism scores, university education decreased somatic burden in the model with resilience scores, and history of COVID-19 disease increased somatic burden in the models with optimism, resilience, and general self-efficacy scores. This study has theoretical and practical contributions. It combines positive psychology and psychosomatic medicine and highlights the value of psychological resource interventions in the treatment and prevention of somatic burden. These findings may be useful for scientists, clinicians, and practitioners.
A Cross-Sectional Study on the Assessment of Service Quality and User Satisfaction of a Community Support Program in a Region of Taiwan
Authors: Tsai Liang-Miin , Kung Liang-Hsi , Tsai Yu-Chen , Kung Chih-Ming , Yan Yu-Hua
Published: July 2024

This study aims to assess the service quality and user satisfaction of a community support program (CSP) in a specific administrative region of Taiwan. Employing a cross-sectional design, data were collected from 450 CSP users in the region via a questionnaire. Statistical analyses, including descriptive analysis, ANOVA, and Scheffe’s Test, were conducted using SPSS 22.0. The findings reveal that users aged 70–79 years with primary education, as well as those with demand or unknown demand for long-term care, reported the highest level of satisfaction with CSP services (mean = 4.5, SD = 0.7, p < 0.05). The study underscores the influence of user characteristics and their understanding of the services on satisfaction levels. These insights provide clear direction for policymakers in shaping the future of CSPs, emphasizing the importance of addressing user needs and enhancing awareness and the utilization of available services.
Physical Education Teachers’ Health Literacy: First Evidence from Lithuania
Authors: Sukys Saulius , Trinkuniene Laima , Tilindiene Ilona
Published: July 2024

Background: Promotion of health literacy is an important goal in the context of promoting whole school health. Physical education teachers are of particular importance in achieving this goal. However, very limited empirical studies have addressed the health literacy of physical education teachers. This research aimed to test the structural validity and reliability of the HLS19-Q12, to measure health literacy among physical education teachers, and to evaluate associations of health literacy with health- and lifestyle-related indicators. Methods: We conducted a cross-sectional study of Lithuanian physical education teachers. The participants completed a self-administered online survey that collected information on socio-demographics and health literacy (HLS19-Q12 for general health literacy and the optional package HLS19-DIGI to measure digital health literacy) as well as health behavior. Results: A total of 332 participants completed the survey. The HLS19-Q12 demonstrated acceptable internal consistency (Cronbach’s α of 0.73 and McDonald’s ω of 0.75) and satisfactory structural validity (CFI = 0.924, TLI = 0.917, RMSEA = 0.081). Participants had an average score of 85.09 (SD = 17.23) when using the HLS19-Q12, with 19.3% and 48.8% displaying excellent and sufficient levels of health literacy, respectively. Regression analyses revealed that a higher level of health literacy was significantly associated with better health evaluation (β = 0.15, p < 0.01), but no significant association was found with other health behavior and lifestyle indicators. Conclusions: Overall, the results suggest that teachers’ general health literacy is relatively high. Our findings highlight the importance of conducting more in-depth studies to pursue the understanding of the whole school teachers’ health literacy.
Comparison of Short-Term Effects of Different Spinal Manipulations in Patients with Chronic Non-Specific Neck Pain: A Randomized Controlled Trial
Authors: García-González Jessica , Romero-del Rey Raúl , Martínez-Martín Virginia , Requena-Mullor Mar , Alarcón-Rodríguez Raquel
Published: July 2024

Spinal manipulations for chronic non-specific neck pain (CNNP) include cervical, cervicothoracic junction, and thoracic spine (CCT) manipulations as well as upper cervical spine (UCS) manipulations. This study aimed to compare the short-term effects of UCS manipulation versus a combination of CCT spine manipulations on pain intensity, disability, and cervical range of motion (CROM) in CNNP patients. In a private physiotherapy clinic, 186 participants with CNNP were randomly assigned to either the UCS (n = 93) or CCT (n = 93) manipulation groups. Neck pain, disability, and CROM were measured before and one week after the intervention. No significant differences were found between the groups regarding pain intensity and CROM. However, there was a statistically significant difference in neck disability, with the CCT group showing a slightly greater decrease (CCT: 16.9 ± 3.8 vs. UCS: 19.5 ± 6.8; p = 0.01). The findings suggest that a combination of manipulations in the CCT spine results in a slightly more pronounced decrease in self-perceived disability compared to UCS manipulation in patients with CNNP after one week. However, no statistically significant differences were observed between the groups in terms of pain intensity or CROM.
Synthesis of Tris(trifluoromethyl)nickelates(II)—Coping with “The C2F5 Problem”
Authors: Schäfer Sascha A. , Jordan Rose , Klupsch Katharina M. , Herwede Felix Carl-Heinz , Klein Axel
Published: July 2024

When synthesizing the versatile precursors (NMe4)[Ni(CF3)3(MeCN)] we recently encountered the problem that marked amounts of C2F5 were incorporated instead of CF3 under the chosen reaction conditions forming mixed-ligand nickelates [Ni(CF3)x(C2F5)y(MeCN)]− (x + y = 3). We studied the three products with y = 0, 1, or 2, using 19F nuclear magnetic resonance (NMR) spectroscopy and single-crystal X-ray diffraction. We were able to trace the reaction mechanism and solve the problem by modifying the experimental conditions.
The Role of TcCYP6K1 and TcCYP9F2 Influences Trehalose Metabolism under High-CO2 Stress in Tribolium castaneum (Coleoptera)
Authors: Guan Liwen , Wang Xianzhong , Wan Sijing , Wang Yuanyuan , Zhang Xinyu , Wang Shigui , Li Can , Tang Bin
Published: July 2024

Cytochrome P450 monooxygenases (CYP), crucial detoxification enzymes in insects, are involved in the metabolism of endogenous substances as well as the activation and degradation of exogenous compounds. In this study, T. castaneum was utilized to investigate the roles of TcCYP6K1 and TcCYP9F2 genes influencing in the trehalose metabolism pathway under high-CO2 stress. By predicting the functional sequences of TcCYP6K1 and TcCYP9F2 genes and analyzing their spatiotemporal expression patterns, it was discovered that both genes belong to the CYP3 group and exhibit high expression levels during the larval stage, decreasing during the pupal stage, while showing high expression in the fatty body, intestine, and malpighian tubules. Furthermore, following the knockdown of TcCYP6K1 and TcCYP9F2 genes in combination with treating larvae with 75% CO2, it was observed that larval mortality increased, and glycogen content significantly decreased, while trehalose content increased significantly. Additionally, membrane-bound trehalase enzyme activity declined, TPS gene expression was significantly upregulated, GS gene expression was significantly downregulated, and ATP content showed a marked decrease. In conclusion, CYP genes are critical responsive genes of T. castaneum to high CO2 levels, potentially impacting the insect’s resistance to carbon dioxide through their involvement in the synthesis or breakdown of the carbohydrate metabolism pathway. These findings could serve as a theoretical basis for the utilization of novel pesticides in low-oxygen grain storage techniques and offer new insights for environmentally friendly pest control strategies in grain storage.
The Distribution and Host-Association of the Vector Chigger Species Leptotrombidium imphalum in Southwest China
Authors: Liu Qiao-Yi , Fan Rong , Song Wen-Yu , Peng Pei-Ying , Zhao Ya-Fei , Jin Dao-Chao , Guo Xian-Guo
Published: July 2024

Leptotrombidium imphalum is a species of chigger mites, and it can serve as a transmitting vector of scrub typhus. Southwest China is an important focus of scrub typhus. Based on the field investigation in southwest China from 2001 to 2022, this article presents the first report on the distribution and infestation of L. imphalum on rodents and other sympatric small mammals in the region. A total of 2161 L. imphalum were identified from 218 small mammal hosts in 21 of 114 survey sites. The 17 host species of L. imphalum crossed 13 genera and 5 families in 3 orders (Rodentia, Eulipotyphla, and Scandentia), indicating the low host specificity of the mite. The Asian house rat (Rattus tanezumi) was the dominant host species in the 21 sites where L. imphalum were collected, and 49.38% of mites were found on R. tanezumi. Different small mammals had different susceptibility to the infestation of L. imphalum. The prevalence (PM = 27.66%), infestation mean abundance (MA = 6 mites/per examined host), and mean intensity (MI = 21.69 mites/per infested host) for L. imphalum on the shrew gymnure (Neotetracus sinensis) were much higher than those on other host species (p < 0.05), indicating N. sinensis had a high susceptibility to the infestation of L. imphalum. The infestation indices for L. imphalum on small mammal hosts varied along different altitude and latitude gradients (p < 0.05), indicating the environmental heterogeneity of the mite infestation. Leptotrombidium imphalum exhibited an aggregated distribution among different individuals of its hosts. Besides the low host specificity of L. imphalum, the prevalence of the mite was positively correlated with the occurrence of scrub typhus, indicating the potential risk of the mite.
Elucidating the Relationship between Neutrophil–Lymphocyte Ratio and Plaque Composition in Patients with Drug-Eluting Stent Restenosis by Virtual Histology-Intravascular Ultrasound
Authors: Yu Ming , Wang Yuxing , Yang Song , Mei Jiajie , Liu Zhenzhu , Zhang Lijiao , Xie Wenli , Geng Zhaohong , Liu Baole , Wang Hongyan , Qu Peng , Niu Nan
Published: July 2024

(1) Background: In-stent Restenosis (ISR) is a major factor influencing the prognosis and revascularization of target lesions. The plaque composition is unclear; therefore, it is critical to investigate ISR composition to identify clinical intervention markers. (2) Methods: This study was conducted on 36 patients with drug-eluting stent restenosis. The patients were classified into a Low Neutrophil–Lymphocyte Ratio (L-NLR) and High Neutrophil–Lymphocyte Ratio (H-NLR) according to the median NLR level of 36 patients. Discrepancies in the current information such as baseline data, biochemical examination, cardiac ultrasound data, etc., were examined to identify the underlying risk factors, and a multifactorial linear regression analysis of plaque properties was conducted. (3) Results: NLR = 2.64 was utilized to classify 18 patients into the L-NLR group and 18 patients into the H-NLR group. There were statistically significant differences in age, a pre-percutaneous coronary intervention (PCI) SYNTAX II score, a C-reactive protein (CRP), interleukin (IL)-6, plaque loading, a fibro-lipid tissue area, calcified nubs, and virtual histology-thin fibrous cap atherosclerotic (VH-TCFA). The significant impacts of variations in age, neutrophil–lymphocyte ratio (NLR) levels, and IL-6 levels on the plaque stress and percentage of the fibro-lipid tissue in virtual histology-intravascular ultrasound (VH-IVUS) were identified through multifactorial linear regression. (4) Conclusions: The high NLR group demonstrated increased myocardial injury severity, consistent with higher SYNTAX II scores, a higher plaque burden, and higher proportions of vulnerable components. NLR proved to be a risk factor for both the plaque load and the proportion of the fibro-lipid tissue in ISR.
Epidemiological Association of Current Smoking Status with Hypertension and Obesity among Adults Including the Elderly in Korea: Multivariate Analysis of a Nationwide Cross-Sectional Study Excluding Grades 2–3 Hypertension Cases
Authors: Park Sung-Eun , Jang Seyong , So Wi-Young , Kim Junsu
Published: July 2024

Smoking is a major global health issue that contributes to various chronic diseases, while hypertension and obesity are considered significant health concerns due to their associated complications, such as cardiovascular diseases and metabolic disorders. In this study, we investigated the associations between current smoking status, hypertension, and obesity among the Korean population, excluding individuals with high blood pressure (systolic blood pressure ≥ 160 mmHg or diastolic blood pressure ≥ 100 mmHg) and those taking antihypertensive medications. Data from the 2015 Korea National Fitness Assessment, encompassing 3457 individuals, were analyzed. Logistic regression analysis was used to examine the effects of current smoking and other variables on hypertension and obesity. The results showed that, among the population that excludes specific hypertension criteria, current smoking status was not significantly associated with hypertension or obesity. However, sex and body mass index were significantly associated with hypertension, and age, sex, and blood pressure were significantly associated with obesity. Future research should utilize larger sample sizes and longitudinal designs to confirm these findings and include a broader range of hypertensive participants to better control for potential confounding variables.
Patterns of Left Ventricular Remodelling in Children and Young Patients with Hypertrophic Cardiomyopathy
Authors: Monda Emanuele , Caiazza Martina , Cirillo Chiara , Rubino Marta , Verrillo Federica , Palmiero Giuseppe , Diana Gaetano , Cirillo Annapaola , Fusco Adelaide , Guarnaccia Natale , Buono Pietro , Frisso Giulia , Calabrò Paolo , Russo Maria Giovanna , Limongelli Giuseppe
Published: July 2024

Introduction: The aim of this study was to evaluate the age at onset, clinical course, and patterns of left ventricular (LV) remodelling during follow-up in children and young patients with hypertrophic cardiomyopathy (HCM). Methods: We included consecutive patients with sarcomeric or non-syndromic HCM below 18 years old. Three pre-specified patterns of LV remodelling were assessed: maximal LV wall thickness (MLVWT) thickening; MLVWT thinning with preserved LV ejection fraction; and MLVWT thinning with progressive reduction in LV ejection fraction (hypokinetic end-stage evolution). Results: Fifty-three patients with sarcomeric/non-syndromic HCM (mean age 9.4 ± 5.5 years, 68% male) fulfilled the inclusion criteria. In total, 32 patients (60%) showed LV remodelling: 3 patients (6%) exhibited MLVWT thinning; 16 patients (30%) showed MLVWT thickening; and 13 patients (24%) progressed to hypokinetic end-stage HCM. Twenty-one patients (40%) had no LV remodelling during follow-up. In multivariate analysis, MLVWT was a predictor of the hypokinetic end-stage remodelling pattern during follow-up (OR 1.17 [95%CI 1.01–1.36] per 1 mm increase, p-value 0.043), regardless of sarcomeric variants and New York Heart Association class. Two patients with sarcomeric HCM, showing a pattern of MLVWT regression during childhood, experienced progression during adolescence. Conclusions: Different patterns of LV remodelling were observed in a cohort of children with sarcomeric/non-syndromic HCM. Interestingly, a pattern of progressive MLVWT thinning during childhood, with new progression of MLVWT during adolescence, was noted. A better understanding of the remodelling mechanisms in children with sarcomeric HCM may be relevant to defining the timing and possible efficacy of new targeted therapies in the preclinical stage of the disease.
Changes in Global Longitudinal Strain after TAVI: Additional Prognostic Value over Cardiac Damage in Patients with Severe Aortic Stenosis
Authors: Myagmardorj Rinchyenkhand , Fortuni Federico , Galloo Xavier , Nabeta Takeru , Meucci Maria Chiara , Butcher Steele C. , van der Kley Frank , Bax Jeroen J. , Ajmone Marsan Nina
Published: July 2024

Background: Previous studies demonstrated the prognostic value of baseline cardiac damage staging as well as left ventricular global longitudinal strain (LVGLS) in patients undergoing transcatheter aortic valve implantation (TAVI). The aim of the present study was to evaluate the changes in cardiac damage stage and LVGLS after TAVI and to investigate their prognostic values when integrated into the follow-up assessment. Methods: Patients with severe aortic stenosis undergoing TAVI were hierarchically classified into cardiac damage stages based on echocardiographic criteria before TAVI and at a 6-month follow-up. At the same time, LVGLS was measured. The staging system included stage 0 = no signs of cardiac damage; stage 1 = LV damage; stage 2 = mitral or left atrial damage; stage 3 = pulmonary vasculature or tricuspid damage; and stage 4 = right ventricular damage. The primary endpoint was all-cause mortality. Results: A total of 620 patients were included. At follow-up, LVGLS significantly improved, and the improvement was similar among each baseline cardiac damage stage. Follow-up LVGLS values were divided into quintiles, and each quintile was integrated into the cardiac damage staging, leading to a reclassification of 308 (50%) patients. At the time of a median follow-up at 48 (IQR 31–71) months starting from the 6-month follow-up after TAVI, 262 (38%) patients had died. A multivariable Cox regression model showed that LVGLS-integrated cardiac damage staging at follow-up had an incremental prognostic value over the baseline assessment (HR per 1-stage increase 1.384; 95% CI 1.152–1.663; p < 0.001). Conclusions: The integration of LVGLS with conventional echocardiographic parameters of cardiac damage at a 6-month follow-up after TAVI can improve patient risk-stratification.
Independent Risk Factors and Mortality Implications of De Novo Central Nervous System Involvement in Patients Hospitalized with Severe COVID-19: A Retrospective Cohort Study
Authors: Hanganu Andreea Raluca , Dulămea Adriana Octaviana , Niculae Cristian-Mihail , Moisă Emanuel , Hristea Adriana
Published: July 2024

Background/Objectives: Central nervous system (CNS) involvement is a complication of COVID-19, adding to disease burden. The aim of this study is to identify the risk factors independently associated with CNS involvement in a cohort of patients hospitalized with severe forms of COVID-19 and the risk factors associated with all causes of in-hospital mortality and assess the impact of CNS involvement on in-hospital mortality of the severe COVID-19 patients. Methods: We performed a retrospective observational cohort study including adult patients with severe or critical forms of COVID-19 with and without new-onset CNS manifestations between March 2020 and December 2022. Results: We included 162 patients, 50 of which presented with CNS involvement. Independent risk factors for CNS involvement were female sex (p = 0.04, OR 3.67, 95%CI 1.05–12.85), diabetes mellitus (p = 0.008, OR 5.08, 95%CI 1.519–17.04)), lymphocyte count (0.04, OR 0.23, 95%CI 0.05–0.97), platelets count (p = 0.001, OR 0.98, 95%CI 0.98–0.99) CRP value (p = 0.04, OR 1.007, 95%CI 1.000–1.015), and CK value (p = 0.004, OR 1.003, 95%CI 1.001–1.005). Obesity was a protective factor (p < 0.001, OR 0.57, 95%CI 0.016–0.20). New-onset CNS manifestations (p = 0.002, OR 14.48, 95%CI 2.58–81.23) were independent risk factors for in-hospital mortality. In-hospital mortality was higher in the new-onset CNS involvement group compared to patients without neurological involvement, 44% versus 7.1% (p < 0.001). Conclusions: CNS involvement in severe COVID-19 patients contributes to all causes of in-hospital mortality. There are several risk factors associated with new-onset CNS manifestations and preventing and controlling them could have an important impact on patients’ outcome.
Surgical Management of Complex Ankle Fractures in Patients with Diabetes: A National Retrospective Multicentre Study
Authors: Ahluwalia Raju , Wek Caeser , Lewis Thomas Lorchan , Stringfellow Thomas David , Coffey Duncan , Tan Sze Ping , Edmonds Michael , Meloni Marco , Reichert Ines L. H.
Published: July 2024

Objectives: Patients with ankle fractures associated with diabetes experience more complications following standard open reduction–internal fixation (ORIF) than those without diabetes. Augmented fixation strategies, namely extended ORIF and hindfoot nails (HFNs), may offer better results and early weightbearing in this group. The aim of this study was to define the population of patients with diabetes undergoing primary fixation for ankle fractures. Secondarily, we aimed to assess the utilisation of standard and augmented strategies and the effect of these choices on surgical outcomes, including early post-operative weightbearing and surgical complications. Methods: A national multicentre retrospective cohort study was conducted between January and June 2019 in 56 centres (10 major trauma centres and 46 trauma units) in the United Kingdom; 1360 patients with specifically defined complex ankle fractures were enrolled. The patients’ demographics, fixation choices and surgical and functional outcomes were recorded. Statistical analysis was performed to compare high-risk patients with and without diabetes. Results: There were 316 patients in the diabetes cohort with a mean age of 63.9 yrs (vs. 49.3 yrs. in the non-diabetes cohort), and a greater frailty score > 4 (24% vs. 14% (non-diabetes cohort) (p < 0.03)); 7.5% had documented neuropathy. In the diabetes cohort, 79.7% underwent standard ORIF, 7.1% extended ORIF and 10.2% an HFN, compared to 87.7%, 3.0% and 10.3% in the non-diabetes cohort. Surgical wound complications after standard-ORIF were higher in the diabetes cohort (15.1% vs. 8.7%) (p < 0.02), but patients with diabetes who underwent augmented techniques showed little difference in surgical outcomes/complications compared to non-diabetes patients, even though early-weightbearing rates were greater than for standard-ORIF. Conclusions: Ankle fractures in diabetes occur in older, frailer patients, whilst lower-than-expected neuropathy rates suggest a need for improved assessment. Augmented surgical techniques may allow earlier weightbearing without increasing complications, in keeping with modern guidelines in ankle fracture management.
Retinal Vein Occlusion–Background Knowledge and Foreground Knowledge Prospects—A Review
Authors: Lendzioszek Maja , Bryl Anna , Poppe Ewa , Zorena Katarzyna , Mrugacz Malgorzata
Published: July 2024

Thrombosis of retinal veins is one of the most common retinal vascular diseases that may lead to vascular blindness. The latest epidemiological data leave no illusions that the burden on the healthcare system, as impacted by patients with this diagnosis, will increase worldwide. This obliges scientists to search for new therapeutic and diagnostic options. In the 21st century, there has been tremendous progress in retinal imaging techniques, which has facilitated a better understanding of the mechanisms related to the development of retinal vein occlusion (RVO) and its complications, and consequently has enabled the introduction of new treatment methods. Moreover, artificial intelligence (AI) is likely to assist in selecting the best treatment option for patients in the near future. The aim of this comprehensive review is to re-evaluate the old but still relevant data on the RVO and confront them with new studies. The paper will provide a detailed overview of diagnosis, current treatment, prevention, and future therapeutic possibilities regarding RVO, as well as clarifying the mechanism of macular edema in this disease entity.
Specific Oral Manifestations in Adults with Crohn’s Disease
Authors: Cagir Yavuz , Durak Muhammed Bahaddin , Simsek Cem , Yuksel Ilhami
Published: July 2024

Background: Oral manifestations of Crohn’s disease (CD) include non-specific lesions and specific lesions directly related to intestinal inflammation. Oral lesions that can be overlooked in CD are sometimes challenging to treat. Methods: In this retrospective single-center study, patients with CD aged over 18 years who complied with follow-up and treatment were included. Clinical definitions of specific oral lesions included pyostomatitis vegetans, glossitis with fissuring, lip swelling with fissuring, cobblestoning, and orofacial granulomatosis. Experienced dentists confirmed the specific lesions in each case. Three groups of patients were identified: those without oral lesions, those with non-specific oral lesions, and those with specific oral lesions. The groups were compared based on demographics, disease extent and behavior (based on the Montreal classification), extraintestinal involvement, biologic and steroid treatment, and the requirement of resective surgery. Results: A total of 96 patients (14.2%) with oral lesions were found among the 676 patients with CD (59.7% male, median age 38 years) who were followed for 6.83 years (IQR 0.5–29.87 years). Eight patients (1.2%, 9 lesions) had specific oral lesions, while eighty-eight patients (13%) had non-specific lesions. Orofacial granulomatosis (n = 3), cobblestoning (n = 2), glossitis with fissuring (n = 2), and lip swelling with fissuring (n = 2) were among the specific lesions. The majority of patients (75%) with specific lesions were male, and their median age was 46.5 years (range: 23–68 years). Disease localization was commonly ileocolonic (50%), and perianal disease was present in 25% of patients. Three patients were active smokers. Extraintestinal manifestations were peripheral arthritis/arthralgia (n = 7) and sacroiliitis (n = 1). All specific lesions were associated with moderate-to-severe disease. Five patients improved with biologic therapy, and two patients with immunomodulatory therapy. Conclusions: Specific oral lesions in CD were associated with active disease and improved with immunomodulators or biologic therapy. Close cooperation between gastroenterologists and dentists is essential for early diagnosis and optimal management of CD.
Comparative Evaluation of Convolutional Neural Network Object Detection Algorithms for Vehicle Detection
Authors: Reddy Saieshan , Pillay Nelendran , Singh Navin
Published: July 2024

The domain of object detection was revolutionized with the introduction of Convolutional Neural Networks (CNNs) in the field of computer vision. This article aims to explore the architectural intricacies, methodological differences, and performance characteristics of three CNN-based object detection algorithms, namely Faster Region-Based Convolutional Network (R-CNN), You Only Look Once v3 (YOLO), and Single Shot MultiBox Detector (SSD) in the specific domain application of vehicle detection. The findings of this study indicate that the SSD object detection algorithm outperforms the other approaches in terms of both performance and processing speeds. The Faster R-CNN approach detected objects in images with an average speed of 5.1 s, achieving a mean average precision of 0.76 and an average loss of 0.467. YOLO v3 detected objects with an average speed of 1.16 s, achieving a mean average precision of 0.81 with an average loss of 1.183. In contrast, SSD detected objects with an average speed of 0.5 s, exhibiting the highest mean average precision of 0.92 despite having a higher average loss of 2.625. Notably, all three object detectors achieved an accuracy exceeding 99%.
Enhancing the Mechanical Properties of Transient-Liquid-Phase Bonded Inconel 617 to Stainless Steel 310 through Altering Process Parameters and Homogenisation
Authors: Dehghan Arash , Emadi Rahmatollah , Asghari Yunes , Emadi Hosein , Lotfian Saeid
Published: July 2024

This study investigated the impact of temperature, time, and homogenisation on the transient liquid phase bonding of Inconel 617 to stainless steel 310, employing AWS BNI2 foil as an interlayer. Nine test series were conducted at temperatures of 1050 °C and 1100 °C, with bonding durations ranging from 10 to 60 min. The homogenisation process was carried out on specimens that underwent full isothermal solidification at a temperature of 1170 °C for 180 min. The microscopic analysis indicated that extending the time and raising the bonding temperature resulted in the extension of the isothermal solidified zone, accompanied by a reduction in the quantity of eutectic phases. Complete isothermal solidification was seen exclusively in samples bonded at temperatures of 1050 °C for 60 min and 1100 °C for a duration of 50 min. The size of the diffusion-affected zone expanded as the bonding temperature and duration rose, but the presence of brittle intermetallic phases diminished. The microstructure of the homogenised sample indicated that the diffusion-affected zone had been almost completely eliminated. Hardness variations indicated heightened hardness in the diffusion-affected zone (DAZ) and athermal solidified zone (ASZ). Shear strength is maximised in homogenised specimens with minimised ASZ.
Optimization Design of Radial Clearance between Stator and Rotor of Full Cross-Flow Pump Units
Authors: Liu Jianfeng , Xi Wang , Lu Weigang
Published: July 2024

Influenced by the clearance flow between stator and rotor, the operational performance and hydraulic performance of full cross-flow pump units are often worse than that of semi-cross-flow pumps. In order to explore the influence mechanism of clearance structural parameters on clearance flow and provide a reliable scientific support for the improvement of both external and internal characteristics of full cross-flow pump units, firstly, the optimization of the stator–rotor clearance structure was studied as research entry point and the radial inlet and outlet clearance width were taken to set up design variables. Secondly, to establish a comprehensive optimization objective function considering both the operational performance and the hydraulic performance of the pump, the information weight method was adopted by weighting four evaluation indexes, namely, head coefficient, efficiency coefficient, vortex average radial deflection coefficient and axial velocity uniformity coefficient, which were calculated by numerical simulation. Finally, the relevant optimization design analysis was carried out by establishing the response surface model, with the optimal objective value obtained by conducting the steepest-descent method. The results show that the response of the radial inlet and outlet clearance width coefficient between stator and rotor to the comprehensive objective function is not directly coupled and the influence of the radial inlet clearance width coefficient on the objective function is higher than that of the radial outlet clearance width coefficient. The parameter optimization outcomes are as follows: the width coefficient of radial inlet clearance between stator and rotor is 2.2 and that of radial outlet clearance is 3.6, in which case the disturbance effect of clearance flow on the mainstream flow pattern in the pump can be significantly reduced, with the export cyclic quantity of the guide vane obviously decreased and the outlet flow pattern of the pump unit greatly improved. Verified by the model test, the average lift of the pump unit was increased by about 7.6% and the maximum promotion of the unit efficiency reached 5.2%.
Contrasting Patterns of Fungal and Bacterial Endophytes Inhabiting Temperate Tree Leaves in Response to Thinning
Authors: Liu Beiping , Li Chunhuan , Zhao Xiuhai , Zhang Chunyu , He Xinyi , Qu Laiye , Zhang Naili
Published: July 2024

The phyllosphere is an important but underestimated habitat for a variety of microorganisms, with limited knowledge about leaf endophytes as a crucial component of the phyllosphere microbiome. In this study, we investigated the mechanisms of communities and co-occurrence networks of leaf endophytes in response to forest thinning in a temperate forest. As we expected, contrasting responses of fungal and bacterial endophytes were observed. Specifically, the diversity of leaf endophytic fungi and the complexity of their co-occurrence networks increased significantly with thinning intensity, whereas the complexity of endophytic bacterial co-occurrence networks decreased. In particular, microbiota inhabiting damaged leaves seem to be more intensively interacting, showing an evident fungi–bacteria trade-off under forest thinning. In damaged leaves, besides the direct effects of thinning, thinning-induced changes in neighbor tree diversity indirectly altered the diversity of leaf fungal and bacterial endophytes via modifying leaf functional traits such as leaf dry matter content and specific leaf area. These findings provide new experimental evidence for the trade-offs between leaf endophytic fungi and bacteria under the different magnitudes of deforestation, highlighting their dependence on the presence or absence of leaf damage.
The Effect of Interlayer Delay on the Heat Accumulation, Microstructures, and Properties in Laser Hot Wire Directed Energy Deposition of Ti-6Al-4V Single-Wall
Authors: Halder Rajib , Pistorius Petrus C. , Blazanin Scott , Sardey Rigved P. , Quintana Maria J. , Pierson Edward A. , Verma Amit K. , Collins Peter C. , Rollett Anthony D.
Published: July 2024

Laser hot wire directed energy deposition (LHW-DED) is a layer-by-layer additive manufacturing technique that permits the fabrication of large-scale Ti-6Al-4V (Ti64) components with a high deposition rate and has gained traction in the aerospace sector in recent years. However, one of the major challenges in LHW-DED Ti64 is heat accumulation, which affects the part quality, microstructure, and properties of as-built specimens. These issues require a comprehensive understanding of the layerwise heat-accumulation-driven process–structure–property relationship in as-deposited samples. In this study, a systematic investigation was performed by fabricating three Ti-6Al-4V single-wall specimens with distinct interlayer delays, i.e., 0, 120, and 300 s. The real-time acquisition of high-fidelity thermal data and high-resolution melt pool images were utilized to demonstrate a direct correlation between layerwise heat accumulation and melt pool dimensions. The results revealed that the maximum heat buildup temperature of the topmost layer decreased from 660 °C to 263 °C with an increase to a 300 s interlayer delay, allowing for better control of the melt pool dimensions, which then resulted in improved part accuracy. Furthermore, the investigation of the location-specific composition, microstructure, and mechanical properties demonstrated that heat buildup resulted in the coarsening of microstructures and, consequently, the reduction of micro-hardness with increasing height. Extending the delay by 120 s resulted in a 5% improvement in the mechanical properties, including an increase in the yield strength from 817 MPa to 859 MPa and the ultimate tensile strength from 914 MPa to 959 MPa. Cooling rates estimated at 900 °C using a one-dimensional thermal model based on a numerical method allowed us to establish the process–structure–property relationship for the wall specimens. The study provides deeper insight into the effect of heat buildup in LHW-DED and serves as a guide for tailoring the properties of as-deposited specimens by regulating interlayer delay.
Correction: Ostermann et al. Development and Up-Scaling of Electrochemical Production and Mild Thermal Reduction of Graphene Oxide. Materials 2022, 15, 4639
Authors: Ostermann Markus , Velicsanyi Peter , Bilotto Pierluigi , Schodl Juergen , Nadlinger Markus , Fafilek Guenter , Lieberzeit Peter A. , Valtiner Markus
Published: July 2024

In the original publication [...]