bluuebunny/crossref_metadata_2025 huggingface dataset:
6-Lead Electrocardiography is a Viable Option for Identification of Rhythm and Conduction Anomalies of Patients in the Telemedicine-Based, Hospital-at-Home Setting. A Prospective Validation Study
Authors: Sharabi Adam , Abutbul Eli , Grossbard Eitan , Martsiano Yonatan , Berman Aya , Kassif-Lerner Reut , Hakim Hila , Liber Pninit , Zoubi Anram , Barkai Galia , Segal Gad
Published: August 2023

Abstract: Background: The Hospital-at-home (HAH) model is a viable alternative for conven-tional in-hospital stays worldwide. Serum electrolyte abnormalities are common in acute pa-tients, especially in those with many comorbidities. Pathologic changes in cardiac electrophysi-ology pose a potential risk during HAH stay. Periodical Electrocardiogram (ECG) tracing is therefore advised, but few studies evaluated the accuracy and efficiency of compact, self-activated ECG devices in the HAH settings. This study aimed to evaluate the reliability of such a device in comparison to a standard 12-lead ECG. Methods: We prospectively recruited consecu-tive patients admitted to the Sheba Beyond, virtual hospital, in the HAH department, during a 3-month duration. Each patient underwent a 12-lead ECG recording using the legacy device, and a consecutive recording by a compact 6-lead device. Baseline patients’ characteristics during hospi-talization were collected. Level of agreement between devices was measured by Cohen’s Kappa coefficient for inter-rater reliability (Ϗ). Results: Fifty patients were included in the study. 26 (52%) had electrolyte disturbances. Abnormal D-dimer values were observed in 33 (66%) pa-tients, and 12 (24%) patients had elevated troponin values. We found a level of 94.5% raw agreement between devices with regards to nine of the options included in the automatic read-out of the legacy device. The calculated Ϗ was 0.72, classified as substantial consensus. The rate of raw consensus regarding ECG intervals’ measurement (PR, RR, QT) was 78.5% and the calculated Ϗ was 0.42, corresponding to a moderate level of agreement. Conclusion: This is the first report to our knowledge regarding the feasibility of using a compact, 6-Lead ECG device in the setting of HAH to be safe and bearing satisfying agreement level with a legacy, 12-lead ECG device, en-abling quick, accessible arrythmia detection in this setting. Our findings bear a promise to the future development of telemedicine-based hospital at home methodology.
Maternal Health Care Services Utilization in the Post-conflict Democratic Republic of Congo: Analysis of Health Inequalities over Time
Authors: Bwirire Dieudonne , Roosen Inez , De Vries Nanne , Letschert Rianne , Ntabe Namegabe Edmond , Crutzen Rik
Published: August 2023

This study assessed health inequality trends and the degree of maternal healthcare services utilization in the DRC, using two consecutive Demographic and Health Surveys, 2007 and 2013-2014. First, we assessed the changes in the magnitude of inequality in the utilization of MHCS using logistics and regressions. Second, we analyzed the distribution of inequality in each MHCS utilization variable using the Gini coefficient and the Lorenz curve. Third, we used the Wagstaff two groups concentration indices comparison method to assess health inequality trends. Finally, we fitted the concentration curves to estimate the inequality in the utilization of MHCS to the economic condition of women.
Women were less likely to have their first ANC visit within the first trimester, less likely to receive checkups during ANC visits, and less likely to attend more ANC visits when living in eastern DRC compared to western DRC. Women in rural areas were less likely to have their last birth by C-section, and less likely to receive PNC than women in urban areas. Women with middle, richer, and richest wealth indexes were more likely to complete more ANC visits, more likely to deliver by C-section, most likely to receive PNC, and more likely to receive ANC than those with lower wealth indexes. Over time, inequality in the utilization of MHCS decreased for ANC and PNC but increased for the delivery by C-sections. These findings suggest that innovative strategies are still needed to improve the utilization of MHC services among poorer, rural, and underserved women in post-conflict DRC.
From Nature to Technology: Exploring Bioinspired Polymer Actuators via Electrospinning
Authors: Razzaq Muhammad Yasar , Balk Maria , Mazurek-Budzyńska Magdalena , Schadewald Anke
Published: August 2023

Nature has always been a source of inspiration for the development of novel materials and devices. In particular, polymer actuators that mimic the movements and functions of natural organisms have been of great interest due to their potential applications in various fields, such as biomedical engineering, soft robotics, and energy harvesting. During recent years, the development and actuation performance of electrospun fibrous meshes with the advantages of high permeability, surface area and easy functional modification, has received extensive attention from researchers. This review covers the recent progress in the state-of-the-art electrospun actuators based on commonly used polymers such as stimuli-sensitive hydrogels, shape-memory polymers (SMPs), and electroactive polymers. The design strategies inspired by nature such as hierarchical systems, layered structures, responsive interfaces to enhance the performance, and functionality of these actuators including the role of biomimicry to create devices that mimic the behavior of natural organism are discussed. Finally, the challenges and future directions in the field, with a focus on the development of more efficient and versatile electrospun polymer actuators that can be used in a wide range of applications, are addressed. The insights gained from this review can contribute to the development of advanced and multifunctional actuators with improved performance and expanded application possibilities.
Experimental Investigation of the Influence of High-Frequency Standing Sound Waves on Depth Filtration Using Coarse-Pored Media
Authors: Hasenkrug Jonas , Schweitzer Rouven
Published: August 2023

When a suspension passes through a high-frequency standing sound wave, the particles it contains are manipulated by acoustic forces. In a one-dimensional sound field, these forces lead to a planar arrangement of the particles and the formation of agglomerates. It is known that the combination of these forces and depth filtration can be utilized to significantly increase the filter efficiency of coarse-pored media. So far, this concept has only been used in microfluidics. In this paper, we present the results of a scaled-up filtration channel to test the viability of the industrial application of acoustically assisted filtration systems for the removal of microparticles. The influences of acoustic power input, flow rate, and the porosity of the filter media are investigated. In addition to verifying the scalability, a significant decrease in the large particle fraction in the outflow of the channel was observed when a high-power sound field is applied. Furthermore, the formed agglomerates tend to rise to the fluid surface. The floating particles mostly consist of a large particle fraction.
Efficient Cumulant-Based Automatic Modulation Classification Using Machine Learning
Authors: Dgani Ben , Cohen Israel
Published: August 2023

This paper presents a novel method for automatic modulation classification (AMC) for cognitive radio (CR) networks based on a simple classifier that is trained with high-order cumulant. The proposed method focuses on the statistical behavior of modulated signals and includes analog modulation and digital schemes, which received less attention in the literature. The effectiveness of the proposed method is demonstrated through simulation results using high-quality generated signals under different signal-to-noise ratios (SNRs) and channel conditions. The classification performance achieved by the proposed method is superior to that of the more complex deep learning methods, making it well-suited for deployment in end units of CR networks, particularly in military and emergency service applications. The proposed method offers a cost-effective, high-quality solution for AMC that meets the stringent requirements of these critical applications.
Landslide Susceptibility Assessment Modeling in Yunnan Plateau Lake watershed: A Case Study for Dianchi Lake Watershed
Authors: Bai Guangshun , Yang Xuemei , Kong Zhigang , Zhu Jieyong , Zhang Shitao , Sun Bin
Published: August 2023

The nine plateau lake watersheds in Yunnan are important ecological security barriers for southwest China, and the prevention and control of landslides are important considerations in the management of these watersheds. Taking Dianchi Lake watershed as a typical study area, this paper puts forward an improved comprehensive process of landslide susceptibility evalua-tion, and discusses the model’s sensitivity regarding susceptibility to landslides. The compre-hensive process is based on the weight of evidence method (WoE) and integrates many analyti-cal techniques, such as cross-validation, multi-quantile cumulative Student’s comprehensive weight analysis, independence tests, step-by-step modeling, ROC analysis and ROC-based sus-ceptibility zoning. This paper established fourteen models, with high accuracy and validity AUC, reaching 0.83-0.87 and 0.85-0.88, respectively. Moreover, according to the susceptibility zoning map compiled using the optimal model, 80% of landslides can be predicted in the very high and high susceptibility zones, which only account for 19.58% of the study area. Finally, the strategies for geological disaster prevention and ecological restoration deployment were put forward, providing great guiding significance for deeply understanding the landslide susceptibility of lake watersheds (Dianchi Lake) in Yunnan Plateau and guiding the planning and deployment of landslide prevention and mitigation activities and ecological restoration in the watershed.
The Assessment of the Bioaccumulation of Microplastics in Key Fish Species from the Bulgarian Aquatory of the Black Sea
Authors: Ignatova-Ivanova Tsveteslava , Toschkova Stephany , Ibryamova Sevginar , Bachvarova Darina , Koynova Teodora , Stanachkova Elitca , Ivanov Radoslav , Natchev Nikolay , Kolev Georgi
Published: August 2023

The accumulation of microplastics in the world oceans is one of the main global problems of the modern world. The Black Sea is the main source of seafood for people from several countries, including Bulgaria. The pollution of the Black sea is a result of various factors, especially anthropogenic. The present study demonstrated detailed MPs contamination of five fish species important for the commercial fishing (Garfish, Мullet, Knout goby, Pontic shad and Mediterranean horse mackerel) collected from the Sozopol area on the Bulgarian Black Sea coast. Within each microplastic morphological group, three size classes were recognized: 100-200 µm, 25-100 µm, and ≤ 25 µm. Microplastics were found in the soft tissues of all studied specimens but in a different ratio of pellets, fibers and fragments. Generally, the pellets were the most often registered particles, followed by irregularly-shaped fragments, whereas fibers were less numerous. The dominant part of the isolated plastics are made of polyethylene (PE), and polyethylene terephthalate (PET). Our results pointed out serious pollution with plastic particles in the Bulgarian Black Sea aquatory, which in the future may seriously affect the health of the fish population and also human health.
Oroxylum indicum Seed Extract as a Potential Antidepressant in Chronic Stress Mouse Model of Depression
Authors: Chalermwongkul Chorpeth , Khamphukdee Charinya , Daodee Supawadee , Monthakantirat Orawan , Boonyarat Chantana , Chotritthirong Yutthana , Maneenet Juthamart , Awale Suresh , Kijjoa Anake , Chulikhit Yaowared
Published: August 2023

Major depressive disorder (MDD) is one of life-threatening disorders that is prevalent worldwide. The evident etiology of this disease is still poorly understood. Therefore, a possible mechanism is used to evaluate the antidepressant effect. Nowadays, herbal medicine is gaining more interest as an alternative antidepressant. Oroxylum indicum, which is used in traditional medicine and contains a potential antidepressive compound, baicalein, has an antidepressive property. In vitro inhibitory effect on monoamine oxidase-A (MAO-A) enzyme was used to preliminarily screen the antidepressant effect of the O. indicum seed (OIS) extract. Mice were subjected to unpredictable chronic mild stress (UCMS) for 6 weeks and daily administration of the OIS extract started from week 4. The mechanisms involved in antidepressive activity were investigated. The OIS extract significantly alleviated anhedonia and despair behaviors in UCMS-induced mouse model via two possible pathways: (i) normalize the HPA-axis function by restoration of negative feedback (decreased FKBP5 and increased GR expressions) and reduction of glucocorticoid-related negative gene (SGK-1), (ii) improve neurogenesis by escalation of BDNF and CREB expression in the hippocampus and the frontal cortex. HPLC analysis of the extract showed the presence of All the results obtained from this study emphasize its potential as an effective and novel alternative treatment for MDD.
Experimental Particle Image Velocimetry Apparatus with Known Displacement of Synthetic Particles
Authors: Girardi Anderson Gomes , Júnior Sigeo Kitatani , Fonseca João Paulo da Silva , Mariano Felipe Pamplona
Published: August 2023

The study of velocimetry is important for characterizing and comprehending the effects of fluid flow, and the Particle Image Velocimetry (PIV) technique is one of the primary approaches for understanding the velocity vector field in a test section. Commercial PIV systems are expensive, with one of the main cost factors being high-speed camera equipment capable of capturing images at high frames per second (fps), rendering them impractical for many applications. This study proposes an evaluation of utilizing smartphones as image acquisition systems for PIV technique application. An experimental setup inspired by the known angular displacement of synthetic particles is proposed. A stepper motor rotates a plate containing an image of synthetic particles on its surface. The motion of the plate is captured by the smartphone camera, and the images are processed using PIVlab-MatLab® software. The use of two smartphones is assessed, with acquisition rates of either 240 fps or 960 fps and varying angular velocities. The results were satisfactory for velocities up to 0.7 m/s at an acquisition rate of 240 fps and up to 1.8 m/s at 960 fps, validating the use of smartphones as a cost-effective alternative for the PIV technique.
Effectiveness of Regular Aerobic Exercise in Improving Vascular Stiffness in Elderly Korean Women
Authors: Koh Suhan , Kim Taekyu , Kang Duwang , Kim Doyeon
Published: August 2023

The purpose of this study was to determine the effects of aerobic exercise on carotid to femoral pulse wave velocity (cf-PWV), cell adhesion molecules (intracellular adhesion molecules (ICAM-1), vascular cell adhesion molecules (VCAM-1), and endothelial selectin (E-selectin), and oxidized-LDL in elderly women aged 70–85 years, and to identify the effect of and correlation with vascular stiffness. Forty participants were recruited and divided into three groups; vascular stiffness (VSG, n=14), obesity (OG, n=14), and normal (NG, n=12). All groups were given a 16-week intervention of aerobic exercise, and the data collected before and after exercise were analyzed using SPSS Ver. 23.0. Two-way repeated-measures ANOVA was used to evaluate between-group and time-dependent interaction effects. One-way ANOVA was used to evaluate between-group variations. In addition, the significance was tested using a post-hoc test (Scheffe). The within-group variations by time before and after exercise were examined using a paired t-test, and correlation analysis was performed using Pearson correlation coefficients. Simple regression analysis was performed for variables showing significant differences. The results indicated interaction effects for cf-PWV (p<.001), VCAM-1 (p<.01), E-selectin (p<.05) and oxidized LDL (p<.001). The rate of change of cf-PWV was positively correlated with that of VCAM-1 (r=.352, p<.05) and that of oxidized-LDL (r=.325, p<.05) with statistical significance. To determine the effect of the rate of change of cf-PWV on the rate of change of VCAM-1, the variables were tested, and the coefficient of determination in the regression analysis was .124, indicating that 12.4% of the tested variables fit the standard regression line. The variables for the effect of the rate of change of cf-PWV on the rate of change of oxidized LDL were also tested, and the coefficient of determination in the regression analysis was .106, indicating that 10.6% of the tested variables fit the standard regression line. Thus, the 16-week regular and consistent aerobic exercise program had significant effects on the cf-PWV, ICAM-1, VCAM-1, E-selectin, and oxidized-LDL in elderly Korean women with vascular stiffness, suggesting improvements in vascular stiffness, based on which the intervention is predicted to contribute to the prevention of vascular dysfunction by lowering the risk of cardiovascular disease due to atherosclerosis, as well as having a positive effect in the prevention of impairment of vascular endothelial cells.
Investigation of Fibrin(ogen)lytic, Anticoagulant, and Antithrombotic Effects by Papain, a Natural Cysteine Protease from Carica papaya Latex Using κ-Carrageenan Rat Tail Thrombosis Model
Authors: Yang Hyeryeon , Zahan Most Nusrat , Yoon Yewon , Kim Kyuri , Hwang Du Hyeon , Kim Woo Hyun , Rho Il Rae , Kim Euikyung , Kang Changkeun
Published: August 2023

While fibrinolytic enzymes and thrombolytic agents offer assistance in treating cardiovascular diseases, the existing options are associated with a range of adverse effects. In our previous research, we successfully identified ficin, a naturally occurring cysteine protease that possesses unique fibrin and fibrinogenolytic enzymes, making it suitable for both preventing and treating cardiovascular disorders linked to thrombosis. Papain is a prominent natural cysteine protease derived from the latex of Carica papaya. The potential role of papain in preventing fibrin(ogen)lytic, anticoagulant, and antithrombotic activities has not yet been investigated. Therefore, we examine how papain influences fibrinogen and the process of blood coagulation. Papain is highly stable at pH 4-11 and 37-60°C by azocasein assay. In addition, SDS gel separation electrophoresis, zymography, and fibrin plate assays were used to determine fibrinogen and fibrinolysis activity. Papain appears to have a molecular weight of around 37 kDa, and is highly effective in degrading fibrin, with a molecular weight of over 75 kDa. Furthermore, papain-based hemostatic performance was confirmed in blood coagulation tests, a blood clot lysis assay, and a κ-carrageenan rat tail thrombosis model, highlighting its strong efficacy in blood coagulation. Papain shows dose-dependent blood clot lysis activity, cleaves fibrinogen chains of Aα, Bβ, and γ-bands and significantly extends prothrombin time (PT) and activated partial thromboplastin time (aPTT). Moreover, the mean length of the infarcted regions in the tails of Sprague-Dawley rats with κ-carrageenan was shorter in rats administered 10 U/kg of papain than in streptokinase-treated rats. Thus, papain, a natural cysteine protease, has distinct fibrin and fibrinogenolytic properties, suggesting its potential for preventing or treating cardiovascular issues and thrombosis-related diseases.
Instrumented Flexible Glass Structure: a Bragg Grating Inscribed with Femtosecond Laser used as a Bending Sensor
Authors: Amez-Droz Loïc , Tunon de Lara Matéo , Collette Christophe , Caucheteur Christophe , Lambert Pierre
Published: August 2023

Fused silica glass is a material with outstanding mechanical, thermal and optical properties. Being a brittle material, it is challenging to shape. In the last decade, the manufacturing of monolithic flexible mechanisms in fused silica has evolved with the femtosecond laser-assisted etching process. However, instrumenting those structures is demanding. To address this obstacle, this article proposes to inscribe a Bragg Grating sensor inside a flexure and interface it with an optical fibre to record the strain using a spectrum analyzer. The strain sensitivity of this Bragg Grating sensor is characterized at 1.2 pm/μϵ (1 μϵ = 1 microstrain). Among other applications, deformation sensing can be used to record a force. Its use as a micro-force sensor is estimated. The sensor resolution is limited by our recording equipment to 30 μN over a measurement range above 10 mN. This technology can offer opportunities for surgery applications or others where precision and stability in harsh environments are required.
Passivation of Defective States in Single Crystal MAPbBr3 and Their Optoelectronic Properties Study
Authors: Li Hui , Wang Jin , Li Haitao , Guo Zhi , Chen Zhenhua
Published: August 2023

We fabricated high-quality MAPbBr3 single crystals (SC) by introducing moderate amount electron-rich poly(propylene glycol bis(2-aminopropyl ether) (PEA) additives with an inverse temperature crystallization (ITC) method. The intramolecular vibrations and defective states of prepared MAPbBr3 single crystals were systemically studied by the in situ variable-temperature Fourier Transform Infrared (FTIR) Spectroscopy, X-ray photoelectron spectroscopy (XPS), and the synchrotron-based X-ray absorption near edge structure (XANES), et al. We infer that the proper amount of PEA additives would prevent the formation of intermediate states and crystal boundaries, passivating the density of defective states. The X-ray detection properties of single-crystal MAPbBr3 crystals were investigated, using both high dose and low dose X-ray photons at 40keV in synchrotron beamlines. The photocurrent of optimized PEA-treated MAPbBr3 single crystals demonstrate better performance compared with the as-prepared single crystals. Meanwhile, the decay time of MAPbBr3 single crystal is decreased from 460 ns to 210 ns by Time-resolved photoluminescence (TRPL) decay measurement, owing to the defect passivation by 0.5wt% PEA additives. The PEA-treated single crystals possess much faster decay time than the commercialized Ce:YAG scintillator (>500ns). These results help elucidate the passivation of defective states and contribute paths to manufacture high-quality single crystal perovskites for next-generation optoelectronic devices.
MDMA-Based Psychotherapy in Treatment-Resistant Post-traumatic Stress Disorder (PTSD): A Brief Overview of Current Evidence
Authors: Riaz Kainat , Suneel Sejal , Hamza Bin Abdul Malik Mohammad , Kashif Tooba , Ullah Irfan , Waris Abdul , Di Nicola Marco , Mazza Marianna , Sani Gabriele , Martinotti Giovanni , De Berardis Domenico
Published: August 2023

Post-traumatic stress disorder (PTSD) is a debilitating mental health disorder that causes significant dysfunction in individuals. Currently, there are many approved Pharmacotherapy and Psychotherapy treatment options for PTSD, but unfortunately, half of the patients do not respond to traditional therapies. In this article, we reviewed clinical trials and research on 3,4-methylenedioxymethamphetamine (MDMA) assisted Psychotherapy in PTSD patients, its pharmacokinetics and current treatment guidelines for PTSD. Based on the results of the efficacy of MDMA assisted Psychotherapy from six phases II Randomized controlled trials. MDMA-assisted Psychotherapy for PTSD has received the “Breakthrough Therapy” designation from the FDA. MDMA can potentially reduce PTSD symptoms even in treatment-resistant cases by increasing certain neurohormones, i.e. dopamine, serotonin, norepinephrine and oxytocin. It also modulates activities in the brain regions involved in fear and anxiety. Future research is needed to show whether the advantages outweigh the disadvantages and whether its use can be integrated into available treatment options for PTSD.
Investigating Overlap Ratio Effect on Performance of a Modified Savonius Wind Turbine: An Experimental Study
Authors: Karimi Omid , Kharati Koopaee Masoud , Tavakolpour-Saleh Ali reza , Hosseini Seyed Ehsan
Published: August 2023

A Savonius wind turbine is one of the simplest vertical-axis turbines. Several researchers have been attracted to it because of its simple structure, low noise, appropriate torque, and independence from wind direction. SR3345 and SR5050 blade profiles will be investigated for their effects on the performance of Savonius wind turbines. First, the fabricated wind turbine is placed in front of an open circuit wind tunnel with a velocity of 6 m/s. Furthermore, governing relationships are used to calculate power and torque coefficients as well as tip speed. In this study, the power and torque coefficients of the turbine are compared with the two profiles considered based on overlap ratios between 0 and 0.3. Despite its increased stability, the central shaft reduced the power coefficient of the turbine. For blade SR3345, the best performance occurs at tip speed ratios of less than 1, while for blade SR5050, the best performance occurs at higher tip speed ratios. Both blades SR3345 and SR5050 achieve the highest power coefficients at overlap ratios of 0 and 0.18 when a central shaft is present.
Image Processing Systems for Unmanned Aerial Vehicle: State-of-the-art
Authors: Mokhtar Muhammad Izham Mohd , Sultan Mohamed Thariq Hameed , Shahar Farah Syazwani , Nayak Suhas Yeshwant , Łukaszewicz Andrzej , Nowakowski Marek , Giernacki Wojciech , Holovatyy Andriy
Published: August 2023

The dependence on Unmanned Aerial Vehicles (UAVs) has dramatically increased in many sectors around the globe. UAVs are in high demand, and their technology is developing quickly due to their sophisticated ability to handle various issues. UAVs are capable of replacing labor-intensive tasks with conducive and safe regulation. Additional tools or sensors need to be added to the UAVs system to ensure the implementation of UAVs able to serve into industrial level. The paper aims to consolidate and present a thorough understanding of the various stages of image processing pipelines deployed in UAV applications, including image acquisition, preprocessing, feature extraction, object detection and tracking, and decision-making processes. Throughout this paper, several aspects were deliberate such as strengths, limitations, and performance metrics of existing approaches, this paper seeks to provide researchers, engineers, and practitioners with valuable insights into the challenges and opportunities of image processing systems for UAVs. Ultimately, the synthesis of this knowledge will contribute to enhancing the effective-ness, autonomy, and applicability of UAVs in diverse fields such as surveillance, agriculture, disaster management, and environmental monitoring.
In Vitro and In Silico Evaluation of the Anti-leishmanial Activity of Novel Synthetic Chalcones
Authors: Leite Fernando Ferreira , Rodrigues Luis Cezar , De Oliveira Bruno Hanrry Melo , Duarte Gabrielly Diniz , Ferreira Maria Denise Leite , De Sousa Natália Ferreira , Vanderley Shayenne Eduarda Ramos , Cardoso Leonardo Lima , Keesen Tatjana Souza Lima , De Araújo Rodrigo Santos Aquino , Scotti Luciana , Scotti Marcus Tullius , Mendonça-Junior Francisco Jaime Bezerra
Published: August 2023

Leishmaniasis is a group of neglected infectious, non-contagious diseases caused by parasites of the Leishmania genus which affects millions of people worldwide. The drugs available for its treatment, especially in cases of visceral leishmaniasis, are old, outdated, have serious side effects and in many cases are ineffective due to the emergence of resistant strains. In this context, the search for new candidates for more effective and safer drugs which can become new therapeutic alternatives is a constant need. In this work, 10 new chalcones were synthesized in high yields through Claisen-Schmidt condensation and were evaluated in vitro against Leishmania infantum promastigotes and amastigotes. CP04 and CP06 compounds were the most promising, respectively showing IC50 values = 13.64 ± 0.25 and 11.19 ± 0.22 against promastigotes, and IC50 = 18.92 ± 0.05 and 22.42 ± 0.05 against amastigotes. The compounds did not show cytotoxicity in erythrocytes, showing selectivity indexes greater than 74 and 90. Molecular docking studies carried out under the sterol 14-alpha demethylase (CYP-51) (PDB: 3L4D) and trypanothione reductase (PDB: 5EBK) enzymes from L. infantum evidenced the great affinity of the CP04 molecule for these targets, showing Moldock score values of -94.0758 and -50.5692 KJ/mol-1, with these values being much lower than the co-crystallized ligand energies. Molecular dynamics simulations demonstrated great stability of CP04 in its targets, thus indicating a real interaction possibility. Our findings confirm the potential that chalcones have as candidates for anti-leishmania drugs, and suggest that the CP04 compound may become a promising drug candidate to design and develop novel chalcone-based analogs for leishmaniosis therapy.
Breast Reconstruction Following Mastectomy for Breast Cancer or Prophylactic Mastectomy-Therapeutic Options and Results
Authors: Simion Laurentiu , Petrescu Ina , Chitoran Elena , Rotaru Vlad , Cirimbei Ciprian , Ionescu Sinziana Octavia , Stefan Daniela-Cristina , Luca Dan , Stanculeanu Dana Lucia , Gheorghe Adelina Silvana , Doran Horia , Dogaru Ioana Mihaela
Published: August 2023

(1) Importance of problem: Breast cancer accounted for 685.000 deaths globally in 2020, and half of all cases occur in women with no specific risk factor beside gender and age-group. During last 4 decades we see a reduction by 40% of age-standardized breast cancer [1], which in turn means that the number of mastectomies performed for younger women increased, raising the need for adequate breast reconstructive surgery. Advances in oncological treatment have made it possible to limit the extent of what represents radical surgery for breast cancer, yet in the past decade, we see a marked trend toward mastectomy in breast conserving surgery eligible patients [2]. Prophylactic mastectomy has also registered an upward trend [3,4]. This trend together with new indication for breast reconstruction like chest feminization in transgender patients [5] have increased the need for breast reconstruction surgery. (2) Purpose: The purpose of this study is to analyze the types of reconstructive procedures, their indications, their limitations, their functional results and the safety profiles when used during the integrated treatment plan of the oncologic patient; (3) Methods: We conducted an extensive literature review of the main reconstructive techniques, especially the autologous procedures, summarized the findings and presented a few cases from our own experience for exemplification of the usage of breast reconstruction in oncologic patients. (4) Conclusions: Breast reconstruction has become a necessary step in the treatment of most breast cancers and many reconstructive techniques are now routinely practiced. Microsurgical techniques are considered the "gold standard", but they are not accessible to all services, from a technical or financial point of view, so pediculated flaps remain the safe and reliable option, along with alloplastic procedures, to improve the quality of life of these patients.
Unilateral Mitochondrial-Hemodynamic Coupling and Bilateral Connectivity in the Younger and Older Prefrontal Cortex of Healthy Adults
Authors: Sissons Claire , Saeed Fiza , Carter Caroline , Lee Kathy , Kerr Kristen , Shahdadian Sadra , Liu Hanli
Published: August 2023

A recent study demonstrated that noninvasive measurements of cortical hemodynamics and metabolism in the resting human prefrontal cortex can facilitate quantitative metrics of unilateral mitochondrial-hemodynamic coupling and bilateral connectivity in infraslow oscillation (ISO) frequencies in young adults (YA). The ISO includes three distinct vasomotions with endogenic (E), neurogenic (N), and myogenic (M) frequency bands. The goal of this study was to prove the hypothesis that there are significant differences between young and older adults (OA) in the unilateral coupling (uCOP) and bilateral connectivity (bCON) in the prefrontal cortex. Accordingly, we performed measurements from 24 OA (67.2 ± 5.9 years of age) using the same 2-channel broadband near-infrared spectroscopy (bbNIRS) setup and resting-state experimental protocol as those in the recent study (Shahdadian et al, Cerebral Cortex Communications, 2022). After quantification of uCOP and bCON in three E/N/M frequencies and statistical analysis, we demonstrated that OA had significantly weaker bilateral hemodynamic connectivity but significantly stronger bilateral metabolic connectivity than YA in the M band. Furthermore, OA exhibited significantly stronger unilateral coupling on both prefrontal sides in all E/N/M bands, particularly with a very large effect size in the M band (> 1.9). These age-related results clearly support our hypothesis and were well interpreted following neurophysiological principles. The key finding of this paper is that the neurophysiological metrics of uCOP and bCON are highly associated with age and may have the potential to become meaningful features for human brain health and be translatable for future clinical applications, such as early detection of Alzheimer’s disease.
The Influence of Land Cover Change Towards Connectivity Networks of Forest Ecosystem in Tesso Nilo National Park
Authors: Nasution Aulia Fajrin Ramadhani , Yunitasari Kurnia , Fauzan Muhammad Reza , Hidayat Rizki Atthoriq
Published: August 2023

Tesso Nilo National Park is one of the protected areas designated as KPA by the Decree of the Minister of Forestry No.225/Menhut-II/2004 dated July 19, 2004 covering an area of ​​38,576 ha, then expanded again through the Decree of the Minister of Forestry No.663/Menhut/2009 dated 19 October 2009 with an area of ​​± 83,068 ha. The Tesso Nilo National Park area is experiencing the dynamics of land cover changes, namely the conversion of forest land which causes the forest area to become increasingly narrow in this area. With the reduction in forest area in this area, it causes a decrease in ecosystem network connectivity due to forest fragmentation that occurs, so that forests are separated and further apart. This study aims to analyze changes in land cover in the Tesso Nilo National Park area to find out information on changes in habitat ecosystems in the last 20 years. the observations were made using satellite images in 1999, 2010 and 2019. so that it can be seen the effect of forest fragmentation on ecosystems in the Tesso Nilo National Park area. From the results of the analysis, it was found that the area of ​​forest cover in the Tesso Nilo National Park decreased from 1999 to 2019 and caused changes in the connectivity network of forest ecosystems, which was found in the study, the weakest connectivity separated forest fragments as far as 17394.47 meters due to forest cover fragmentation.
Efficacy of a Symptom Self-Management Programme Delivered via Headset and Face-to-Face on Inpatients Post-Acute Myocardial Infarction: A Randomised Controlled Trial
Authors: Klainin-Yobas Piyanee , Tang Lian Kwang , Koh Karen Wei Ling , Ambhore Anand Adinath , Chai Ping , Lau Ying
Published: August 2023

Acute myocardial infarction (AMI) is a leading cause of morbidity and mortality worldwide. This study aimed to test the efficacy of a newly-developed symptom self-management program on health outcomes among inpatients post-AMI. A pilot randomised, controlled trial was utilised. A convenience sample of 90 was recruited from a tertiary hospital in Singapore. Adult inpatients with post-AMI were randomly assigned to the three groups: IManage-HSet, IManage-FF or control group. Sample size was computed using power analysis. Data were collected through self-reported questionnaires and physiological instruments. Data analyses included univariate statistics, analysis of variance and repeated measure analysis of variance. Ninety participants were recruited with 30 in each group. Participants in the IManage-HSet and IManage-FF group had significantly greater relaxation (ηp2 = 0.11), lower objective stress (ηp2 =0.14), and greater knowledge (ηp2 = 0.62) than those of the control group. The two intervention groups had lower subjective stress (ηp2 = 0.04), depression (ηp2 = 0.01), and anxiety (ηp2 = 0.03) than the control but such differences did not achieve statistical significance. Furthermore, most participants reported that they were satisfied with the programs and they provided positive comments on the contents, educational materials and relaxation practice. This pilot study supports the potential benefits and feasibility of the IManage-VR and IManage-FF interventions on stress, perceived relaxation, knowledge and patient satisfaction. Contents of the symptom management interventions could be added into current cardiac rehabilitation programs. Future RCTs with multi-centered sites and larger sample size are required to further test the intervention. This study was prospectively registered with the International Standard Randomised Controlled Trial on the 5th August 2014 with registration number ISRCTN61027816.
Evaluation of Public ICT-based Real Estate Development Projects and Analysis of Operational Performance of Related Companies: Focusing on Smart City Projects in Korea
Authors: Kim Jaehwan , Shim Heecheol
Published: August 2023

This study identified, analysed, and prioritised significant factors for standardising the Korean smart city project evaluation system. We analysed the efficiency and productivity of companies currently providing smart city services to consider both policy and practical aspects. The prioritisation of smart city planning reflects the latest trends in South Korea, where urban planning is moving towards smart city planning. Furthermore, the capacity building of public-private/private-private partnerships indicate the importance of business scalability. This indicates that smart city services are only stabilised when the private sector is involved and leads the project, rather than focusing on public development. The feasibility of building intelligent facilities indicates that smart city projects should be implemented after securing cost-benefit feasibility. The results were used as the basis for building an evaluation system, showing that in smart city convergence alliances, small- and medium-sized enterprises achieved the highest efficiency by reducing inputs to 81% and 86%, under the assumptions of constant and variable returns to scales, respectively. As the operational aspect is more problematic than the technical aspect, policy alternatives are necessary for smooth business progress, including increased flexibility of laws and institutions and the activation of policies that temporarily relieve regulations to demonstrate smart city projects.
Application of fSP3 towards Non-Systemic Drug Discovery
Authors: Benardout Miles , Le Gresley Adam , El Shaer Amr , Wren Stephen P.
Published: August 2023

Non-systemic oral drugs, which do not get absorbed through the gastrointestinal membrane, are an important group of compounds for targeting diseases residing within the gastrointestinal lumen. However, they require a set of design principles not sufficiently covered by traditional druglikeness metrics, such as Lipinski’s Rule of 5. These druglikeness metrics fail to accurately identify true negative outcomes; such is the requirement for novel cheminformatic based approaches for the discovery of non-systemic small molecules. One such example of these newer metrics is the fraction of SP3-hybridised carbon atoms (fSP3) which has shown promising application as an identifier of poor oral-bioavailability. Herein, we discuss the application of fSP3 in the drug discovery process in a number of case studies, including our own work discovering non-systemic fructose scavengers for the treatment of fructose malabsorption.
Cholesterol Homeostasis, Mechanisms of Molecular Pathways, and Cardiac Health
Authors: Kumar Rajiv
Published: August 2023

The metabolism of lipoproteins, which regulates the transit of the lipid to and from tissues, is crucial to maintaining cholesterol homeostasis. Cardiac remodeling is referred to as a set of molecular, cellular, and interstitial changes that, following injury, affect the size, shape, function, mass, and geometry of the heart. Acetyl coenzyme A (acetyl CoA), which can be made from glucose, amino acids, or fatty acids, is the precursor for the synthesis of cholesterol. In this article, authors explain concepts behind cardiac remodeling, its clinical ramifications, and the pathophysiological roles played by numerous various components, such as cell death, neurohormonal activation, oxidative stress, contractile proteins, energy metabolism, collagen, calcium transport, inflammation, and geometry. The levels of cholesterol are traditionally regulated by two biological mechanisms at the transcriptional stage. First, the SREBP transcription factor family regulates the transcription of crucial rate-limiting cholesterogenic and lipogenic proteins, which in turn limits cholesterol production. Immune cells become activated, differentiated, and divided, during an immune response with the objective of eradicating the danger signal. In addition to creating ATP, which is used as energy, this process relies on metabolic reprogramming of both catabolic and anabolic pathways to create metabolites that play a crucial role in regulating the response. Because of changes in signal transduction, malfunction of the sarcoplasmic reticulum and sarcolemma, impairment of calcium handling, increases in cardiac fibrosis, and progressive loss of cardiomyocytes, oxidative stress appears to be the primary mechanism that causes the transition from cardiac hypertrophy to heart failure. De novo cholesterol production, intestinal cholesterol absorption, and biliary cholesterol output are consequently crucial processes in cholesterol homeostasis. In the article's final section, the pharmacological management of cardiac remodeling is explored. The route of treatment is explained into different steps: including, promising, and potential strategies. This chapter offers a brief overview of the history of the study of cholesterol absorption as well as the different potential therapeutic targets.
Response Rate to the 3rd and 4th Doses of BNT162b2 Vaccine in Cancer Patients Administered with Active Anti-Neoplastic Treatments
Authors: Agbarya Abed , Sarel Ina , Ziv-Baran Tomer , Schwartz Orna , Sheikh-Ahmad Mohammad , Saiegh Leonard , Swaid Forat , Shechtman Yelena , Kozlener Ella , Khoury Rasha , Janzic Urska , Abu-Ahmad Asala , Brenner Ronen
Published: August 2023

The BNT162b2 vaccine is globally used for preventing morbidity and mortality related to COVID-19. Cancer patients have had priority for receiving the vaccine due to their diminished immunity. This study reports the response of administering the 3rd and 4th vaccine doses to can-cer patients receiving active anti-neoplastic treatment. 142 patients have received two doses of the mRNA-based BNT162b2 COVID-19 vaccine, while 76 and 25 patients have received three and four doses, respectively. The efficacy of the humoral response following two vaccine doses was diminished in cancer patients, especially in the group of patients receiving chemotherapy. In a multivariate analysis, patients after three and four BNT162b2 vaccine doses were more likely to have antibody titers in the upper tertile compared to patients after two doses of the vaccine (odds ratio (OR) 7.62 (95% CI 1.38-42.12), p=0.02 and 17.15 (95% CI 5.01-58.7), p<0.01, respective-ly). Unlike the response after two doses, the 3rd and 4th BNT162b2 vaccine booster doses, had an increased efficacy of 95-100% in cancer patients while on active treatment. This result could be explained by different mechanisms including the development of memory B cells.
Dynamics of Wavefunction Decay: The Quantum Entanglement and the Measure Process
Authors: Chiarelli Piero
Published: August 2023

By employing the stochastic extension of the Madelung quantum-hydrodynamic description within a discrete methodology, we establish a solution using the path integral approach to explore the progression of quantum states' superposition. This investigation aims to understand the eventual establishment of a stable end-state configuration amid the backdrop of gravitational background fluctuations. The model identifies the circumstances that lead to a limited range of interaction for the quantum potential, allowing for the emergence of sizeable, classically described macroscopic phenomena. The theory unveils the lowest achievable level of uncertainty in an open quantum system and investigate its congruence with the localized behaviors of macroscopic classical systems. The study examines agreements and differences with decoherence theory and the Copenhagen interpretation of quantum mechanics, and evaluates the impact of wave function decay on the measurement process.
Comparison of Automated Keratometer and Scheimpflug Tomography for Predicting Refractive Astigmatism in Pseudophakic Eyes
Authors: Na Kyung-Sun , Savini Giacomo , Whang Woong-joo , Næser Kristian
Published: August 2023

Abstract

Purpose: To analyze the correspondence between refractive astigmatism and corneal astigmatism in pseudophakic eyes with non-toric intraocular lenses.

Setting: Yeouido St. Mary hospital, Seoul, South Korea

Design: Evaluation of a diagnostic test instrument.

Methods: This retrospective study included 95 eyes of 95 patients. Corneal astigmatism was measured with an automated keratometer (RK-5, Canon) and Scheimpflug tomography (Pentacam HR, Oculus). Refractive astigmatism was compared to keratometric astigmatism (based on anterior corneal measurements only), Equivalent K Reading and total corneal astigmatism (both based on anterior and posterior corneal measurements). Vector analysis was carried out by Næser’s polar value method. The accuracy was defined as the average magnitude of the vectorial difference in astigmatism (DA). Each corneal measurement was optimized in retrospect by a multiple linear regression equation between refractive and corneal astigmatism.

Results: Keratometric astigmatism overestimated with-the-rule (WTR) refractive astigmatism and underestimated against-the-rule (ATR) refractive astigmatism. Several measurements based on both corneal surfaces values did not show any statistically significant difference with respect to refractive astigmatism. The mean corneal astigmatism by total corneal refractive power (TCRP) at 4.0 mm (zone/pupil) produced the lowest mean arithmetic DA and the highest percentage of eyes with a DA ≤0.50 diopter. After optimization, the accuracies of automated KA and TCRP 4.0 mm (zone/pupil) were similar.

Conclusions: Total corneal astigmatism measured by the Scheimpflug tomography at 4.0 mm zone centered on pupil, accurately reflects the refractive astigmatism in pseudophakic eyes. However, the accuracy of total corneal astigmatism is not different from automated KA after optimization.