bluuebunny/crossref_metadata_2025 huggingface dataset:
Hospital Restraints: Safe or Dangerous? A Case of Hospital Death Due to Asphyxia from the Use of Mechanical Restraints
Authors: Scalise Carmen , Cordasco Fabrizio , Sacco Matteo Antonio , Aquila Valerio Riccardo , Ricci Pietrantonio , Aquila Isabella
Published: July 2022

Asphyxia can be defined as an impediment to the influx of air into the respiratory tract, leading to tissue hypoxia. By restraint, we mean the use of physical, pharmacological and/or environmental means to limit the subject’s ability to move. Fall prevention is the main reason restraint is used. Unfortunately, restraint can sometimes be fatal. There are few studies in the literature on this subject. We report the case of a man with Down syndrome in a psychiatric clinic found dead between the bed and the floor of the room where he was hospitalized. The analysis of the scene showed the presence of a means of a restraint, located around the man’s chest and neck, which kept him tied to the bed and applied a constricting mechanical action. There was doubt as to the cause of death. For this reason, an inspection of the scene and an autopsy were carried out. Upon opening the chest, blood infiltration of the left intercostal muscles that was topographically compatible with external cutaneous excoriation (sign of restraint) became evident. In view of the danger of using restraint, it is necessary to evaluate the means of restraint as an extraordinary and not an ordinary procedure in patient management. Each patient undergoing restraint measures must be carefully monitored by specialized personnel. Greater surveillance of the nurse/patient ratio is necessary to reduce the use of restraints. In this case report, we highlight the lack of surveillance of patients subjected to restraint.
Positive and Existential Psychology in Times of Change: Towards Complex, Holistic, Systemic, and Integrative Perspectives
Authors: Mayer Claude-Hélène
Published: July 2022

This Special Issue, entitled “Positive and Existential Psychology in Times of Change: Towards Complex, Holistic, Systemic and Integrative Perspectives”, addresses the urging questions and challenges of our times from the latest positive and existential psychology perspectives [...]
Toxicologic Concerns with Current Medical Nanoparticles
Authors: Cheng Tsai-Mu , Chu Hsiu-Yi , Huang Haw-Ming , Li Zi-Lin , Chen Chiang-Ying , Shih Ya-Jung , Whang-Peng Jacqueline , Cheng R. Holland , Mo Ju-Ku , Lin Hung-Yun , Wang Kuan
Published: July 2022

Nanotechnology is one of the scientific advances in technology. Nanoparticles (NPs) are small materials ranging from 1 to 100 nm. When the shape of the supplied nanoparticles changes, the physiological response of the cells can be very different. Several characteristics of NPs such as the composition, surface chemistry, surface charge, and shape are also important parameters affecting the toxicity of nanomaterials. This review covered specific topics that address the effects of NPs on nanomedicine. Furthermore, mechanisms of different types of nanomaterial-induced cytotoxicities were described. The distributions of different NPs in organs and their adverse effects were also emphasized. This review provides insight into the scientific community interested in nano(bio)technology, nanomedicine, and nanotoxicology. The content may also be of interest to a broad range of scientists.
EfABI4 Transcription Factor Is Involved in the Regulation of Starch Biosynthesis in Euryale ferox Salisb Seeds
Authors: Wu Peng , Zhu Yue , Liu Ailian , Wang Yuhao , Zhao Shuping , Feng Kai , Li Liangjun
Published: July 2022

Starch is the final product of photosynthesis and the main storage form in plants. Studies have shown that there is a close synergistic regulatory relationship between ABA signal transduction and starch biosynthesis. In this study, we employed RNA sequencing (RNA-Seq) to investigate transcriptomic changes of the Euryale ferox seeds treated by exogenous ABA. The differentially expressed genes engaged in the “Starch and sucrose” and “TCA cycle” pathway. Furthermore, the key transcription factor EfABI4 in ABA signaling pathway and the key genes of starch biosynthesis (EfDBE1, EfSBE2, EfSS1, EfSS2, EfSS3, EfSS4 and EfGBSS1) were significantly up-regulated. Further, the Euryale ferox plant was treated with ABA, it was found that the total starch content of Euryale ferox seeds at different development stages was significantly higher than that of the control, and the key genes of starch synthesis in Euryale ferox seeds were also significantly up-regulated. Finally, yeast one-hybrid and dual luciferase assay proved that EfABI4 can promote the expression of EfSS1 by directly binding to its promoter. Subcellular localization results showed that EfABI4 protein was located at the nucleus and EfSS1 protein was located in the cytomembrane. These findings revealed that ABA promotes starch synthesis and accumulation by mediating EfABI4 to directly promote EfSS1 gene expression, which is helpful for understanding starch synthesis in seeds.
Structure–Function Insights into the Fungal Endo-Chitinase Chit33 Depict its Mechanism on Chitinous Material
Authors: Jiménez-Ortega Elena , Kidibule Peter Elias , Fernández-Lobato María , Sanz-Aparicio Julia
Published: July 2022

Chitin is the most widespread amino renewable carbohydrate polymer in nature and the second most abundant polysaccharide. Therefore, chitin and chitinolytic enzymes are becoming more importance for biotechnological applications in food, health and agricultural fields, the design of effective enzymes being a paramount issue. We report the crystal structure of the plant-type endo-chitinase Chit33 from Trichoderma harzianum and its D165A/E167A-Chit33-(NAG)4 complex, which showed an extended catalytic cleft with six binding subsites lined with many polar interactions. The major trait of Chit33 is the location of the non-conserved Asp117 and Arg274 acting as a clamp, fixing the distorted conformation of the sugar at subsite –1 and the bent shape of the substrate, which occupies the full catalytic groove. Relevant residues were selected for mutagenesis experiments, the variants being biochemically characterized through their hydrolytic activity against colloidal chitin and other polymeric substrates with different molecular weights and deacetylation percentages. The mutant S118Y stands out, showing a superior performance in all the substrates tested, as well as detectable transglycosylation capacity, with this variant providing a promising platform for generation of novel Chit33 variants with adjusted performance by further design of rational mutants’. The putative role of Tyr in binding was extrapolated from molecular dynamics simulation.
New Bis-Cyclometalated Iridium(III) Complexes with β-Substituted Porphyrin-Arylbipyridine as the Ancillary Ligand: Electrochemical and Photophysical Insights
Authors: Moura Nuno M. M. , Serra Vanda Vaz , Bastos Alexandre , Biazotto Juliana C. , Castro Kelly A. D. F. , Faustino Maria Amparo F. , Lodeiro Carlos , da Silva Roberto S. , Neves Maria da Graça P. M. S.
Published: July 2022

An efficient synthetic access to new cationic porphyrin-bipyridine iridium(III) bis-cyclometalated complexes was developed. These porphyrins bearing arylbipyridine moieties at β-pyrrolic positions coordinated with iridium(III), and the corresponding Zn(II) porphyrin complexes were spectroscopically, electrochemically, and electronically characterized. The features displayed by the new cyclometalated porphyrin-bipyridine iridium(III) complexes, namely photoinduced electron transfer process (PET), and a remarkable efficiency to generate 1O2, allowing us to envisage new challenges and opportunities for their applications in several fields, such as photo(catalysis) and photodynamic therapies.
The Role of the Choroid in Stargardt Disease
Authors: Abdolrahimzadeh Solmaz , Formisano Martina , Di Pippo Mariachiara , Lodesani Manuel , Lotery Andrew John
Published: July 2022

Stargardt disease is the commonest juvenile macular dystrophy. It is caused by genetic mutations in the ABCA4 gene. Diagnosis is not always straightforward, and various phenocopies exist. Late-onset disease can be misdiagnosed with age-related macular disease. A correct diagnosis is particularly critical because of emergent gene therapies. Stargardt disease is known to affect retinal pigment epithelium and photoreceptors. Many studies have also highlighted the importance of the choroid in the diagnosis, pathophysiology, and progression of the disease. The choroid is in an integral relationship with the retinal pigment epithelium and photoreceptors, and its possible involvement during the disease should be considered. The purpose of this review is to analyze the current diagnostic tools for choroidal evaluation and the extrapolation of useful data for ophthalmologists and researchers studying the disease.
Regulation of Inflammation-Related Genes through Fosl1 Suppression in a Levetiracetam-Treated Pilocarpine-Induced Status Epilepticus Mouse Model
Authors: Komori Rie , Matsuo Taira , Yokota-Nakatsuma Aya , Hashimoto Ritsuka , Kubo Shizuka , Kozawa Chihiro , Kono Tomomi , Ishihara Yasuhiro , Itoh Kouichi
Published: July 2022

Levetiracetam (LEV) suppresses the upregulation of proinflammatory molecules that occurs during epileptogenesis after status epilepticus (SE). Based on previous studies, LEV likely helps prevent the onset of epilepsy after insults to the brain, unlike other conventional anti-epileptic drugs. Recently, we discovered that the increase in Fosl1 expression that occurs after lipopolysaccharide (LPS) stimulation is suppressed by LEV and that Fosl1 inhibition suppresses inflammation in BV-2 microglial cells. These data indicate that Fosl1 is an important target of LEV and a key factor in preventing epilepsy onset. In this study, we examined the effects of LEV on Fosl1 expression and neuroinflammation in vivo. During epileptogenesis, the post-SE upregulation of hippocampal levels of Fosl1 and many inflammatory factors were suppressed by LEV. Fosl1 expression showed a characteristic pattern different from that of the expression of Fos, an immediate-early gene belonging to the same Fos family. At 2 days after SE, Fosl1 was predominantly expressed in astrocytes but was rarely detected in microglia, whereas Fos expression was distributed in various brain cell types. The expression of A2 astrocyte markers was similar to that of Fosl1 and was significantly suppressed by LEV. These results suggest that LEV may regulate astrocyte reactivity through regulation of Fosl1.
Biodistribution and Cellular Internalization of Inactivated SARS-CoV-2 in Wild-Type Mice
Authors: Hudák Anett , Morgan Gareth , Bacovsky Jaromir , Patai Roland , Polgár Tamás F. , Letoha Annamária , Pettko-Szandtner Aladar , Vizler Csaba , Szilák László , Letoha Tamás
Published: July 2022

Despite the growing list of identified SARS-CoV-2 receptors, the human angiotensin-converting enzyme 2 (ACE2) is still viewed as the main cell entry receptor mediating SARS-CoV-2 internalization. It has been reported that wild-type mice, like other rodent species of the Muridae family, cannot be infected with SARS-CoV-2 due to differences in their ACE2 receptors. On the other hand, the consensus heparin-binding motif of SARS-CoV-2’s spike protein, PRRAR, enables the attachment to rodent heparan sulfate proteoglycans (HSPGs), including syndecans, a transmembrane HSPG family with a well-established role in clathrin- and caveolin-independent endocytosis. As mammalian syndecans possess a relatively conserved structure, we analyzed the cellular uptake of inactivated SARS-CoV-2 particles in in vitro and in vivo mice models. Cellular studies revealed efficient uptake into murine cell lines with established syndecan-4 expression. After intravenous administration, inactivated SARS-CoV-2 was taken up by several organs in vivo and could also be detected in the brain. Internalized by various tissues, inactivated SARS-CoV-2 raised tissue TNF-α levels, especially in the heart, reflecting the onset of inflammation. Our studies on in vitro and in vivo mice models thus shed light on unknown details of SARS-CoV-2 internalization and help broaden the understanding of the molecular interactions of SARS-CoV-2.
Exfoliated Kidney Cells from Urine for Early Diagnosis and Prognostication of CKD: The Way of the Future?
Authors: Wu Henry H. L. , Goldys Ewa M. , Pollock Carol A. , Saad Sonia
Published: July 2022

Chronic kidney disease (CKD) is a global health issue, affecting more than 10% of the worldwide population. The current approach for formal diagnosis and prognostication of CKD typically relies on non-invasive serum and urine biomarkers such as serum creatinine and albuminuria. However, histological evidence of tubulointerstitial fibrosis is the ‘gold standard’ marker of the likelihood of disease progression. The development of novel biomedical technologies to evaluate exfoliated kidney cells from urine for non-invasive diagnosis and prognostication of CKD presents opportunities to avoid kidney biopsy for the purpose of prognostication. Efforts to apply these technologies more widely in clinical practice are encouraged, given their potential as a cost-effective approach, and no risk of post-biopsy complications such as bleeding, pain and hospitalization. The identification of biomarkers in exfoliated kidney cells from urine via western blotting, enzyme-linked immunosorbent assay (ELISA), immunofluorescence techniques, measurement of cell and protein-specific messenger ribonucleic acid (mRNA)/micro-RNA and other techniques have been reported. Recent innovations such as multispectral autofluorescence imaging and single-cell RNA sequencing (scRNA-seq) have brought additional dimensions to the clinical application of exfoliated kidney cells from urine. In this review, we discuss the current evidence regarding the utility of exfoliated proximal tubule cells (PTC), podocytes, mesangial cells, extracellular vesicles and stem/progenitor cells as surrogate markers for the early diagnosis and prognostication of CKD. Future directions for development within this research area are also identified.
Cloning and Characterization of a Thermostable Endolysin of Bacteriophage TP-84 as a Potential Disinfectant and Biofilm-Removing Biological Agent
Authors: Żebrowska Joanna , Żołnierkiewicz Olga , Ponikowska Małgorzata , Puchalski Michał , Krawczun Natalia , Makowska Joanna , Skowron Piotr
Published: July 2022

The obligatory step in the life cycle of a lytic bacteriophage is the release of its progeny particles from infected bacterial cells. The main barrier to overcome is the cell wall, composed of crosslinked peptidoglycan, which counteracts the pressure prevailing in the cytoplasm and protects the cell against osmotic lysis and mechanical damage. Bacteriophages have developed two strategies leading to the release of progeny particles: the inhibition of peptidoglycan synthesis and enzymatic cleavage by a bacteriophage-coded endolysin. In this study, we cloned and investigated the TP84_28 endolysin of the bacteriophage TP-84, which infects thermophilic Geobacillus stearothermophilus, determined the enzymatic characteristics, and initially evaluated the endolysin application as a non-invasive agent for disinfecting surfaces, including those exposed to high temperatures. Both the native and recombinant TP84_28 endolysins, obtained through the Escherichia coli T7-lac expression system, are highly thermostable and retain trace activity after incubation at 100 °C for 30 min. The proteins exhibit strong bacterial wall digestion activity up to 77.6 °C, decreasing to marginal activity at ambient temperatures. We assayed the lysis of various types of bacteria using TP84_28 endolysins: Gram-positive, Gram-negative, encapsulated, and pathogenic. Significant lytic activity was observed on the thermophilic and mesophilic Gram-positive bacteria and, to a lesser extent, on the thermophilic and mesophilic Gram-negative bacteria. The thermostable TP84_28 endolysin seems to be a promising mild agent for disinfecting surfaces exposed to high temperatures.
Laser-Induced Molecular Plasma: A Medium for High-Order Harmonics Generation of Ultrashort Pulses
Authors: Ganeev Rashid A.
Published: July 2022

I present a study of laser-induced plasmas (LIPs) produced on the surfaces of molecular targets to create optimal conditions for high-order harmonics generation during the propagation of femtosecond pulses through the LIP. The resonance enhancement of a harmonic, two-color pump of plasma, quasi-phase-matching and nanoparticle-induced growth of the harmonic yield are analyzed, which allows for the formation of sources of coherent extreme ultraviolet radiation based on molecular plasma formation.
Emerging Anti-Inflammatory Pharmacotherapy and Cell-Based Therapy for Lymphedema
Authors: Ogino Ryohei , Yokooji Tomoharu , Hayashida Maiko , Suda Shota , Yamakawa Sho , Hayashida Kenji
Published: July 2022

Secondary lymphedema is a common complication of lymph node dissection or radiation therapy for cancer treatment. Conventional therapies such as compression sleeve therapy, complete decongestive physiotherapy, and surgical therapies decrease edema; however, they are not curative because they cannot modulate the pathophysiology of lymphedema. Recent advances reveal that the activation and accumulation of CD4+ T cells are key in the development of lymphedema. Based on this pathophysiology, the efficacy of pharmacotherapy (tacrolimus, anti-IL-4/IL-13 antibody, or fingolimod) and cell-based therapy for lymphedema has been demonstrated in animal models and pilot studies. In addition, mesenchymal stem/stromal cells (MSCs) have attracted attention as candidates for cell-based lymphedema therapy because they improve symptoms and decrease edema volume in the long term with no serious adverse effects in pilot studies. Furthermore, MSC transplantation promotes functional lymphatic regeneration and improves the microenvironment in animal models. In this review, we focus on inflammatory cells involved in the pathogenesis of lymphedema and discuss the efficacy and challenges of pharmacotherapy and cell-based therapies for lymphedema.
The Ethylene Response Factor ERF5 Regulates Anthocyanin Biosynthesis in ‘Zijin’ Mulberry Fruits by Interacting with MYBA and F3H Genes
Authors: Mo Rongli , Han Guangming , Zhu Zhixian , Essemine Jemaa , Dong Zhaoxia , Li Yong , Deng Wen , Qu Mingnan , Zhang Cheng , Yu Cui
Published: July 2022

Ethylene promotes ripening in fruits as well as the biosynthesis of anthocyanins in plants. However, the question of which ethylene response factors (ERFs) interact with the genes along the anthocyanin biosynthesis pathway is yet to be answered. Herein, we conduct an integrated analysis of transcriptomes and metabolome on fruits of two mulberry genotypes (‘Zijin’, ZJ, and ‘Dashi’, DS, with high and low anthocyanin abundance, respectively) at different post-flowering stages. In total, 1035 upregulated genes were identified in ZJ and DS, including MYBA in the MBW complex and anthocyanin related genes such as F3H. A KEGG analysis suggested that flavonoid biosynthesis and plant hormone signaling transduction pathways were significantly enriched in the upregulated gene list. In particular, among 103 ERF genes, the expression of ERF5 showed the most positive correlation with the anthocyanin change pattern across both genotypes and in the post-flowering stages, with a Pearson correlation coefficient (PCC) of 0.93. Electrophoresis mobility shift assay (EMSA) and luciferase assay suggested that ERF5 binds to the promoter regions of MYBA and F3H and transcriptionally activates their gene expression. We elucidated a potential mechanism by which ethylene enhances anthocyanin accumulation in mulberry fruits and highlighted the importance of the ERF5 gene in controlling the anthocyanin content in mulberry species. This knowledge could be used for engineering purposes in future mulberry breeding programs.
Vesicular and Planar Membranes of Archaea Lipids: Unusual Physical Properties and Biomedical Applications
Authors: Chong Parkson Lee-Gau , Chang Abby , Yu Allyson , Mammedova Ayna
Published: July 2022

Liposomes and planar membranes made of archaea or archaea-like lipids exhibit many unusual physical properties compared to model membranes composed of conventional diester lipids. Here, we review several recent findings in this research area, which include (1) thermosensitive archaeosomes with the capability to drastically change the membrane surface charge, (2) MthK channel’s capability to insert into tightly packed tetraether black lipid membranes and exhibit channel activity with surprisingly high calcium sensitivity, and (3) the intercalation of apolar squalane into the midplane space of diether bilayers to impede proton permeation. We also review the usage of tetraether archaeosomes as nanocarriers of therapeutics and vaccine adjuvants, as well as the biomedical applications of planar archaea lipid membranes. The discussion on archaeosomal therapeutics is focused on partially purified tetraether lipid fractions such as the polar lipid fraction E (PLFE) and glyceryl caldityl tetraether (GCTE), which are the main components of PLFE with the sugar and phosphate removed.
Transcriptome Analysis Reveals Key Gene Expression Changes in Blue Catfish Sperm in Response to Cryopreservation
Authors: Wang Haolong , Montague Helen R. , Hess Hana N. , Zhang Ying , Aguilar Gavin L. , Dunham Rex A. , Butts Ian A. E. , Wang Xu
Published: July 2022

The hybrids of female channel catfish (Ictalurus punctatus) and male blue catfish (I. furcatus) account for >50% of US catfish production due to superior growth, feed conversion, and disease resistance compared to both parental species. However, these hybrids can rarely be naturally spawned. Sperm collection is a lethal procedure, and sperm samples are now cryopreserved for fertilization needs. Previous studies showed that variation in sperm quality causes variable embryo hatch rates, which is the limiting factor in hybrid catfish breeding. Biomarkers as indicators for sperm quality and reproductive success are currently lacking. To address this, we investigated expression changes caused by cryopreservation using transcriptome profiles of fresh and cryopreserved sperm. Sperm quality measurements revealed that cryopreservation significantly increased oxidative stress levels and DNA fragmentation, and reduced sperm kinematic parameters. The present RNA-seq study identified 849 upregulated genes after cryopreservation, including members of all five complexes in the mitochondrial electron transport chain, suggesting a boost in oxidative phosphorylation activities, which often lead to excessive production of reactive oxygen species (ROS) associated with cell death. Interestingly, functional enrichment analyses revealed compensatory changes in gene expression after cryopreservation to offset detrimental effects of ultra-cold storage: MnSOD was induced to control ROS production; chaperones and ubiquitin ligases were upregulated to correct misfolded proteins or direct them to degradation; negative regulators of apoptosis, amide biosynthesis, and cilium-related functions were also enriched. Our study provides insight into underlying molecular mechanisms of sperm cryoinjury and lays a foundation to further explore molecular biomarkers on cryo-survival and gamete quality.
The Phagocytosis of Lacticaseibacillus casei and Its Immunomodulatory Properties on Human Monocyte-Derived Dendritic Cells Depend on the Expression of Lc-p75, a Bacterial Peptidoglycan Hydrolase
Authors: Tóth Márta , Muzsai Szabolcs , Regulski Krzysztof , Szendi-Szatmári Tímea , Czimmerer Zsolt , Rajnavölgyi Éva , Chapot-Chartier Marie-Pierre , Bácsi Attila
Published: July 2022

The human gut symbiont Lacticaseibacillus (L.) casei (previously Lactobacillus casei) is under intense research due to its wide range of immunomodulatory effects on the human host. Dendritic cells (DCs) are crucial players in the direct and indirect communication with lactobacilli in the gastrointestinal tract. Here, we demonstrate that human monocyte-derived DCs (moDCs) are able to engulf L. casei BL23, in which the intact bacterial cell wall and morphology have a key role. The absence of the bacterial cell-wall-degrading enzyme, Lc-p75, in L. casei cells causes remarkable morphological changes, which have important consequences in the phagocytosis of L. casei by moDCs. Our results showed that the Lc-p75 mutation induced defective internalization and impaired proinflammatory and T-cell-polarizing cytokine secretion by bacteria-exposed moDCs. The T helper (Th) 1 and Th17 cell activating capacity of moDCs induced by the mutant L. casei was consequently reduced. Moreover, inhibition of the phagocytosis of wild-type bacteria showed similar results. Taken together, these data suggested that formation of short bacterial chains helps to exert the potent immunomodulatory properties of L. casei BL23.
Effects of Supplemental Drugs on Hexaminolevulinate (HAL)-Induced PpIX Fluorescence in Bladder Cancer Cell Suspensions
Authors: Chan Kit Man , Vasilev Krasimir , MacGregor Melanie
Published: July 2022

Seven different inhibitors of the heme metabolic pathway were applied in combination with HAL to study the formation of PpIX in bladder cancer HT1197 and normal fibroblast HFFF2 cells ex vivo, specifically with the aim to increase the fluorescence contrast between cancer and non-cancer cells. The mRNA expression of enzymes involved in the heme biosynthesis pathway were measured via PCR following incubation with the drugs in order to link the fluorescence levels and metabolic activity. The exogenous administration of HAL does lead to cancer-specific PpIX accumulation. However, the contrast between cancer and normal cells in suspension was not enhanced by the enzyme inhibitors and iron-chelating agents tested, nor did the mRNA expression necessarily correlate with the fluorescence intensity. The results indicate that a difference in the metabolic activity of cells in suspension may limit the applicability of exogenous enzyme inhibitor administration as a mean to improve the fluorescence-based detection of cancer cells shed in body fluids.
Nano-Formulation Endows Quorum Quenching Enzyme-Antibiotic Hybrids with Improved Antibacterial and Antibiofilm Activities against Pseudomonas aeruginosa
Authors: Ivanova Kristina , Ivanova Aleksandra , Hoyo Javier , Pérez-Rafael Silvia , Tzanov Tzanko
Published: July 2022

The emergence of antibiotic resistant bacteria coupled with the shortage of efficient antibacterials is one of the most serious unresolved problems for modern medicine. In this study, the nano-hybridization of the clinically relevant antibiotic, gentamicin, with the bacterial pro-pathological cell-to-cell communication-quenching enzyme, acylase, is innovatively employed to increase its antimicrobial efficiency against Pseudomonas aeruginosa planktonic cells and biofilms. The sonochemically generated hybrid gentamicin/acylase nano-spheres (GeN_AC NSs) showed a 16-fold improved bactericidal activity when compared with the antibiotic in bulk form, due to the enhanced physical interaction and disruption of the P. aeruginosa cell membrane. The nano-hybrids attenuated 97 ± 1.8% of the quorum sensing-regulated virulence factors’ production and inhibited the bacterium biofilm formation in an eight-fold lower concentration than the stand-alone gentamicin NSs. The P. aeruginosa sensitivity to GeN_AC NSs was also confirmed in a real time assay monitoring the bacterial cells elimination, using a quartz crystal microbalance with dissipation. In protein-enriched conditions mimicking the in vivo application, these hybrid nano-antibacterials maintained their antibacterial and antibiofilm effectiveness at concentrations innocuous to human cells. Therefore, the novel GeN_AC NSs with complementary modes of action show potential for the treatment of P. aeruginosa biofilm infections at a reduced antibiotic dosage.
Time to Total Knee Arthroplasty after Intra-Articular Hyaluronic Acid or Platelet-Rich Plasma Injections: A Systematic Literature Review and Meta-Analysis
Authors: Berkani Sabryne , Courties Alice , Eymard Florent , Latourte Augustin , Richette Pascal , Berenbaum Francis , Sellam Jérémie , Louati Karine
Published: July 2022

Intra-articular (IA) hyaluronic acid (HA) and platelet-rich plasma (PRP) injections are increasingly being prescribed for knee osteoarthritis (KOA). However, failure of the medical treatment may result in total knee arthroplasty (TKA). We wondered if IA HA or PRP injections (intervention) may delay the time to TKA (outcome) among KOA patients (population), compared to KOA patients not receiving these injections (comparator). For this systematic literature review (SLR) and meta-analysis, we selected observational studies with at least one group of patients receiving IA HA or PRP and with TKA data available. The main outcome was time from the diagnosis of KOA to TKA. We included 25 articles in the SLR (2,824,401 patients) and four in the meta-analysis. The mean strengthening the reporting of observational studies in epidemiology (STROBE) score was 63%. For patients receiving versus not receiving HA injections, the delay between a declared diagnosis of KOA to TKA was increased by 9.8 months (95% CI (8.2–11.4)). As compared with standard of care, the effect size of HA injections for this outcome was 0.57 (95% CI (0.36–0.76)). Only one study described a median time from PRP injections to TKA of 4.1 years (range 0.3–14.7). IA HA injections were associated with increased time to TKA. Causality cannot be concluded because of missing confounder factors as comorbidities. Data were insufficient to conclude any effect of PRP injections on TKA delay.
Living with Advanced Breast Cancer: A Descriptive Analysis of Survivorship Strategies
Authors: Grimm Michael , Radcliff Lindsey , Giles Mariann , Nash Ryan , Holley Erin , Panda Shannon , Brophy Lynne , Williams Nicole , Cherian Mathew , Stover Daniel , Gatti-Mays Margaret E. , Wesolowski Robert , Sardesai Sagar , Sudheendra Preeti , Reinbolt Raquel , Ramaswamy Bhuvaneswari , Pariser Ashley
Published: July 2022

Survivors of advanced breast cancer (ABC), also known as metavivors, are often left with fewer treatment options in the landscape of a cure culture. Metavivors have unique psychosocial and physical needs distinct from patients with early-stage breast cancer. This analysis delves into side effects commonly experienced by patients with ABC, such as fatigue, anxiety, and cardiotoxicity; how these side effects impact caregiver support, financial toxicity, emotional strain, and spiritual and emotional distress; as well as current strategies for mitigation, including nutrition, exercise, and participation in clinical research. Overall, this analysis is a mandate for additional research to explore novel treatments and implement strategies to maintain and improve patients’ quality of life.
Tooth Loss and Carotid Intima-Media Thickness in Relation to Functional Atherosclerosis: A Cross-Sectional Study
Authors: Shimizu Yuji , Yamanashi Hirotomo , Kitamura Masayasu , Miyata Jun , Nonaka Fumiaki , Nakamichi Seiko , Saito Toshiyuki , Nagata Yasuhiro , Maeda Takahiro
Published: July 2022

Structural arterial stiffness can be evaluated with carotid intima-media thickness (CIMT). Functional arterial stiffness can be evaluated with cardio-ankle vascular index (CAVI). A positive association between CIMT and tooth loss has been reported, but no studies have evaluated the association between CIMT and tooth loss in relation to functional arterial stiffness (functional atherosclerosis). A cross-sectional study of 1235 Japanese individuals aged 40–89 years was conducted. Tooth loss was defined as being in the lowest tertile for the number of remaining teeth (≤20 in men and ≤19 in women). Functional atherosclerosis was defined as CAVI ≥ 9.0. Independent of known confounding factors, CIMT was positively associated with tooth loss only in participants without functional atherosclerosis. Adjusted odds ratios for tooth loss and a 1 standard deviation increment in CIMT were 1.27 (1.04–1.55) for participants without functional atherosclerosis and 0.99 (0.77–1.26) for participants with functional atherosclerosis. CIMT and functional atherosclerosis had a significant effect on tooth loss; the fully adjusted p-value for the interaction on tooth loss was 0.019. Independent of known confounding factors, CIMT is positively associated with tooth loss only in participants without functional atherosclerosis. This finding helps clarify the influence of the progression of arterial stiffness on tooth loss because the progression of structural atherosclerosis might have a beneficial influence on the maintenance of the microcirculation.
Levosimendan Administration May Provide More Benefit for Survival in Patients with Non-Ischemic Cardiomyopathy Experiencing Acute Decompensated Heart Failure
Authors: Lee Wei-Chieh , Wu Po-Jui , Fang Hsiu-Yu , Fang Yen-Nan , Chen Huang-Chung , Tong Meng-Shen , Sung Pei-Hsun , Lee Chieh-Ho , Chung Wen-Jung
Published: July 2022

Background: Acute decompensated heart failure (ADHF) is a life-threatening condition with a high mortality rate. Levosimendan is an effective inotropic agent used to maintain cardiac output and a long-lasting effect. However, only few studies have compared the clinical outcomes, after levosimendan therapy, among etiologies of ADHF. Methods: Between July 2014 and December 2019, 184 patients received levosimendan therapy for ADHF at our hospital. A total of 143 patients had ischemic cardiomyopathy (ICM), and 41 patients had non-ICM (NICM). Data on comorbidities, echocardiographic findings, laboratory findings, use of mechanical devices, consumption of other inotropic or vasopressor agents, frequency of HF hospitalization, cardiovascular (CV) mortality, and all-cause mortality were compared between the ICM and NICM groups. Results: Patients with ICM were older with higher prevalence of diabetes mellitus when compared to patients with NICM. Patients with NICM had a poorer left ventricular ejection fraction (LVEF) and higher left ventricular end-systolic volume when compared to patients with ICM. At the 30 day follow-up period, a lower CV mortality (ICM vs. NICM: 20.9% vs. 5.1%; log-rank p = 0.033) and lower all-cause mortality (ICM vs. NICM: 28.7% vs. 9.8%; log-rank p = 0.018) was observed in the NICM patients. A significantly lower all-cause mortality was noted at 180 day (ICM vs. NICM: 39.2% vs. 22.0%; log-rank p = 0.043) and 1 year (ICM vs. NICM: 41.3% vs. 24.4%; log-rank p = 0.046) follow up in the NICM subgroup. NICM (hazard ratio (HR): 0.303, 95% confidence interval (CI): 0.108–0.845; p = 0.023) and ECMO use (HR: 2.550, 95% CI: 1.385–4.693; p = 0.003) were significant predictors of 30 day all-cause mortality. Conclusions: In our study on levosimendan use for ADHF patients, better clinical outcomes were noted in the NICM population when compared to the ICM population. In the patients with cardiogenic shock or ventilator use, significantly lower incidence of 30 day mortality presented in the NICM population when compared with the ICM population.
[18F]Fluoride Positron-Emission Tomography (PET) and [18F]FDG PET for Assessment of Osteomyelitis of the Jaw in Comparison to Computed Tomography (CT) and Magnetic Resonance Imaging (MRI): A Prospective PET/CT and PET/MRI Pilot Study
Authors: Reinert Christian Philipp , Pfannenberg Christina , Dittmann Helmut , Gückel Brigitte , la Fougère Christian , Nikolaou Konstantin , Hoefert Sebastian
Published: July 2022

To investigate imaging features of osteomyelitis of the jaw (OMJ) using [18F]fluoride positron emission tomography (PET) and [18F]fluorodeoxyglucose (FDG)-PET compared with computed tomography (CT) and magnetic resonance imaging (MRI) to assess extent and disease activity. Six female patients (55.3 ± 10.0 years) were enrolled for assessment of symptomatic OMJ. 4/6 patients underwent [18F]FDG-PET/MRI and [18F]fluoride-PET/CT, one patient MRI and [18F]fluoride-PET/CT and another patient only [18F]FDG-PET/MRI. Image analysis was performed by two radiologists, an oral and maxillofacial surgeon, and a nuclear medicine specialist. The extent of affected jawbone was analyzed both qualitatively and quantitatively, including the PET tracer uptake, CT-Hounsfield-Units (HU) and MRI parameters in affected and healthy jawbone. All patients had trabecular sclerosis in the affected jawbone compared to healthy jawbone (560 ± 328 HU vs. 282 ± 211 HU; p > 0.05), while 3/6 patients had cortical erosions. Bone marrow edema and gadolinium enhancement were documented in 5/6 patients. In affected jawbone, [18F]fluoride-uptake was increased in all patients compared to healthy jawbone (SUVmean 15.4 ± 4.2 vs. 2.1 ± 0.6; p < 0.05), and [18F]FDG-uptake was moderately higher (SUVmean 1.9 ± 0.7 vs. 0.7 ± 0.2; p > 0.05). The extent of regions with increased metabolic activity was less than the extent of morphologic changes in all patients. Information on jawbone metabolism and inflammation is different from morphologic changes and therefore has the potential to provide a more accurate and objective assessment of the extent and activity of OMJ.
A COLREGs-Compliant Collision Avoidance Decision Approach Based on Deep Reinforcement Learning
Authors: Wang Weiqiang , Huang Liwen , Liu Kezhong , Wu Xiaolie , Wang Jingyao
Published: July 2022

It is crucial to develop a COLREGs-compliant intelligent collision avoidance system for the safety of unmanned ships during navigation. This paper proposes a collision avoidance decision approach based on the deep reinforcement learning method. A modified collision avoidance framework is developed that takes into consideration the characteristics of different encounter scenarios. Hierarchical reward functions are established to assign reward values to constrain the behavior of the agent. The collision avoidance actions of the agent under different encounter situations are evaluated on the basis of the COLREGs to ensure ship safety and compliance during navigation. The deep Q network algorithm is introduced to train the proposed collision avoidance decision framework, while various simulation experiments are performed to validate the developed collision avoidance model. Results indicate that the proposed method can effectively perform tasks that help ships avoid collisions in different encounter scenarios. The proposed approach is a novel attempt for intelligent collision avoidance decisions of unmanned ships.
Systematicity and Stability Analysis of Land Use Change—Taking Jinan, China, as an Example
Authors: Zhou Kun , Wang Xinyi , Wang Zhihan , Hu Yecui
Published: July 2022

The study of the systematic stability of land use change is essential for regulating land use results and layout. This article took Jinan, China, as an example, and used the land transfer matrix to calculate the changing area and intensity based on remote sensing image maps and land use status maps, and then used the intensity analysis method to compare the changing intensity with the average intensity at three levels: interval level, land category level, and transition level. The systematicity and stability of land use changes from 2005 to 2018 in Jinan were analyzed using intensity analysis. The results showed that the intensity of land use change in Jinan led to a rapid change pattern from 2005 to 2010 and a slow change pattern from 2010 to 2018. The occupation of cultivated land by construction land in Jinan showed high activity, while the transition process of cultivated land to construction land and other land categories showed a steady, systematic change pattern, other land categories showed different trends and intensities of change, and the transition of forest land and other land categories showed stability in time scale. The results showed that the changes in construction land were mainly due to external influences, showing a systematic non-steady change pattern.
Combination of Two Manipulative Techniques for the Treatment of Cervicogenic Dizziness: A Randomized Controlled Trial
Authors: Carrasco-Uribarren Andoni , Pardos-Aguilella Pilar , Pérez-Guillén Silvia , López-de-Celis Carlos , Rodríguez-Sanz Jacobo , Cabanillas-Barea Sara
Published: July 2022

Cervicogenic dizziness is clinically associated with upper cervical spine dysfunctions. It seems that manual therapy decreases the intensity of dizziness in these subjects, but what happens to pain measured by pressure pain threshold (PPT) has not been studied. Purpose: analyze the short-term effects of combination two manipulation techniques protocol in worst dizziness intensity (wVAS), dizziness and cervical disability, upper cervical spine mobility and mechanosensivity of cervical tissue. Methods: Assessor-blinded randomized controlled trial was developed. A total of 40 patients with cervicogenic dizziness were randomly divided into two groups. The experimental group received three treatments consisting of a functional massage and a manipulation technique, and compared with a control group. The wVAS, dizziness handicap inventory (DHI), neck disability index (NDI), UCS mobility, and PPTs were measured. Measurements were made at the baseline, first follow-up 48 h after intervention and second follow-up 1 month after the intervention. Results: at second follow-up wVAS (p < 0.001), NDI (p < 0.001), DHI (p < 0.001), and upper right trapezius (p < 0.022) and right suboccipital (p < 0.043) PPTs showed a difference between groups in favor of the experimental group. Conclusions: apparently, the proposed intervention protocol decreases the intensity of dizziness and the mechanosensitivity of the cervical tissue and improves the feeling of disability due to neck pain and dizziness.
Damage Characterization of Carbon Fiber Composite Pressure Vessels Based on Modal Acoustic Emission
Authors: Jiang Peng , Liu Xiaodong , Li Wei , Guo Fuping , Hong Chuan , Liu Yubin , Yang Chang
Published: July 2022

This study characterized the damage characteristics of carbon fiber composite pressure vessels by the modal acoustic emission (MAE) method. The study showed how to use the extracted damage modal features and established MAE parameters to determine the damage mode of composite pressure vessels. First, the A0 and S0 Lamb modes of the AE signal were split through mode separation, and the time window was selected to establish the MAE characteristic parameters. Subsequently, based on the MAE parameters and the damage mode characteristics established from single damage experiments, a damage mode discrimination method was established. A bending test of carbon fiber composite laminates proved that the modal separation method and the MAE parameters establishment are reasonable and effective. The results from the hydraulic test of the graded loading performed on 20 MPa carbon fiber composite pressure vessels showed the accuracy of the damage mode discrimination method, and the damage state of the pressure vessel could be analyzed using the fiber fracture damage threshold according to the MAE parameters.
Shear Strength of Ultra-High-Performance Concrete (UHPC) Beams without Transverse Reinforcement: Prediction Models and Test Data
Authors: Kodsy Antony , Morcous George
Published: July 2022

The use of Ultra-High-Performance Concrete (UHPC) in beams has been growing rapidly in the past two decades due to its superior mechanical and durability properties compared to conventional concrete. One of the areas of interest to designers is the elimination of transverse reinforcement as it simplifies beam fabrication/construction and could result in smaller and lighter beams. UHPC has a relatively high post-cracking tensile strength due to the presence of steel fibers, which enhance its shear strength and eliminate the need for transverse reinforcement. In this paper, UHPC shear test data were collected from the literature to study the effect of the following parameters on the shear strength of UHPC beams without transverse reinforcement: compressive strength, tensile strength, level of prestressing, longitudinal reinforcement ratio, and fiber volume fraction. Statistical analysis of test data indicated that level of prestressing and tensile strength are the most significant parameters for prestressed UHPC beams, whereas longitudinal reinforcement ratio and tensile strength are the most significant parameters for non-prestressed UHPC beams. Additionally, shear strength of the tested UHPC beams was predicted using five models: RILEM TC 162-TDF, 2003, fib Model Code, 2010, French Standard NF P 18-710, 2016, PCI-UHPC Structures Design Guide, 2021, and Draft of AASHTO Guide Specification for Structural Design with UHPC, 2021. Comparing measured against predicted shear strength indicated that the French Standard model provides the closest prediction with the least scatter, where the average measured-to-predicted strength was 1.1 with a standard deviation of 0.38. The Draft of AASHTO provided the second closest prediction where the average measured-to-predicted strength was 1.3 with a standard deviation of 0.64. The other three models underestimated the shear strength.
Proton Conduction in Acceptor-Doped BaSnO3: The Impact of the Interaction between Ionic Defects and Acceptor Impurities
Authors: Putilov Lev , Tsidilkovski Vladislav
Published: July 2022

Barium stannate is known as a promising proton-conducting material for clean energy applications. In this work, we elucidate the effect of the interaction of protons and oxygen vacancies with acceptor impurities on proton conduction in acceptor-doped BaSnO3. The analysis relies on our theoretical developments in hydration and proton hopping in proton-conducting perovskites. The transport theory, based on the master equation and effective medium approximation, provides the analytical description of hopping conduction considering the effects of disorder and changes in the potential energy landscape for protons caused by acceptor impurities. Using the proposed approach, we establish the dependence of the proton mobility and conductivity on the energies of the acceptor-bound states of ionic defects and external conditions. It is shown that the considered interactions can substantially affect the effective activation energies and prefactors of these transport coefficients. We also demonstrate that the correlation between the ionic radius rA of an acceptor impurity and the energies of its interaction with ionic defects leads to a non-monotonic dependence of the proton conductivity on rA. The obtained results are in reasonable agreement with the experimental data on the bulk conductivity of BaSnO3 doped with different acceptors.
A Scientometric Review on Mapping Research Knowledge for 3D Printing Concrete
Authors: He Chuan , Zhang Shiyu , Liang Youwang , Ahmad Waqas , Althoey Fadi , Alyami Saleh H. , Javed Muhammad Faisal , Deifalla Ahmed Farouk
Published: July 2022

The scientometric analysis is statistical scrutiny of books, papers, and other publications to assess the “output” of individuals/research teams, organizations, and nations, to identify national and worldwide networks, and to map the creation of new (multi-disciplinary) scientific and technological fields that would be beneficial for the new researchers in the particular field. A scientometric review of 3D printing concrete is carried out in this study to explore the different literature aspects. There are limitations in conventional and typical review studies regarding the capacity of such studies to link various elements of the literature accurately and comprehensively. Some major problematic phases in advanced level research are: co-occurrence, science mapping, and co-citation. The sources with maximum articles, the highly creative researchers/authors known for citations and publications, keywords co-occurrences, and actively involved domains in 3D printing concrete research are explored during the analysis. VOS viewer application analyses bibliometric datasets with 953 research publications were extracted from the Scopus database. The current study would benefit academics for joint venture development and sharing new strategies and ideas due to the graphical and statistical depiction of contributing regions/countries and researchers.