bluuebunny/crossref_metadata_2025 huggingface dataset:
Efficacy of Electrochemotherapy in Breast Cancer Patients of Different Receptor Status: The INSPECT Experience
Authors: Di Prata Claudia , Mascherini Matteo , Ross Alastair MacKenzie , Silvestri Barbara , Kis Erika , Odili Joy , Fabrizio Tommaso , Jones Rowan Pritchard , Kunte Christian , Orlando Antonio , Clover James , Kumar Siva , Russano Francesco , Matteucci Paolo , Muir Tobian , Terlizzi Francesca de , Gehl Julie , Grischke Eva-Maria
Published: June 2023

Electrochemotherapy has been proven to be an efficient treatment for cutaneous metastases of various cancers. Data on breast cancer (BC) patients with cutaneous metastases were retrieved from the INSPECT database. Patients were divided by their receptor status: HER2+, HR+ (ER/PgR+), and TN (triple negative). Groups were similar for histological subtype and location of the nodules. Most patients were previously treated with surgery/systemic therapy/radiotherapy. We found no differences in the three groups in terms of response ratio (OR per patient 86% HER2+, 80% HR+, 76% TN, p = 0.8664). The only factor positively affecting the complete response rate in all groups was small tumor size (<3 cm, p = 0.0105, p = 0.0001, p = 0.0266, respectively). Local progression-free survival was positively impacted by the achievement of complete response in HER2+ (p = 0.0297) and HR+ (p = 0.0094), while overall survival was affected by time to local progression in all groups (p = 0.0065 in HER2+, p < 0.0001 in HR+, p = 0.0363 in TN). ECT treatment is equally effective among groups, despite different receptor status. Response and local tumor control seem to be better in multiple small lesions than in big armor-like lesions, suggesting that treating smaller, even multiple, lesions at the time of occurrence is more effective than treating bigger long-lasting armor-like cutaneous lesions.
Cutaneous Side Effects of Modern Targeted Therapy and Immunotherapy in Patients with Dermatological Malignancies
Authors: Plachouri Kerasia-Maria , Florou Vaia , Georgiou Vasileios , Georgiou Sophia
Published: June 2023

The advent of immunotherapy and targeted therapies in treating dermatological malignancies has dramatically changed the landscape of dermato-oncology in recent years. Their superior efficacy compared to previous therapeutic options, such as chemotherapy, has resulted in their use in treating devastating malignancies, such as melanoma or unresectable/metastatic basal cell and squamous cell carcinoma. Skin toxicity is a critical safety consideration, among other adverse reactions, that can occur under treatment with these agents. This article aims to summarize the cutaneous side effects of immune checkpoint inhibitors and targeted dermato-oncological therapies. Although the skin side effects of these agents are primarily mild, they can occasionally affect the decision for treatment continuation and the quality of life of the affected patients. Therefore, physicians must be acquainted with the specific cutaneous toxicity profile of such treatments to mitigate their impact on the patients and optimize the overall outcome of dermato-oncological therapy.
α-NiS/g-C3N4 Nanocomposites for Photocatalytic Hydrogen Evolution and Degradation of Tetracycline Hydrochloride
Authors: Qi Huajin , Wang Chenyu , Shen Luping , Wang Hongmei , Lian Yuan , Zhang Huanxia , Ma Hongxia , Zhang Yong , Zhang Jin Zhong
Published: June 2023

α-NiS/g-C3N4 nanocomposites were synthesized and used for photocatalytic hydrogen (H2) evolution and tetracycline hydrochloride (TC) degradation. The fabricated nanocomposites were characterized by XRD, XPS, SEM, TEM, UV-vis DRS, TRPL, and PEC measurements. Photocatalytic studies show that the hydrogen generation rate of the 15%-α-NiS/g-C3N4 nanocomposite reaches 4025 μmol·g−1·h−1 and TC degradation rate 64.6% within 120 min, both of which are higher than that of g-C3N4. The enhanced performance of the nanocomposite is attributed to the formation of a heterojunction between α-NiS and g-C3N4 that enhances visible light absorption, promotes the separation and transfer of charges, and inhibits the recombination of carriers. The photocatalytic mechanism of the α-NiS/g-C3N4 heterojunction nanocomposite is discussed in terms of relevant energy levels and charge transfer processes.
Synthesis of Bi-Metallic-Sulphides/MOF-5@graphene Oxide Nanocomposites for the Removal of Hazardous Moxifloxacin
Authors: Anum Aqsa , Nazir Muhammad Altaf , Ibrahim Sobhy M. , Shah Syed Shoaib Ahmad , Tahir Asif A. , Malik Misbah , Wattoo Muhammad Ahmad , Rehman Aziz ur
Published: June 2023

The development of new and advanced materials for various environmental and energy applications is a prerequisite for the future. In this research, the removal of hazardous moxifloxacin (MOX) is accomplished by synthesizing new hybrids of MOF-5 i.e., Ni/Mo.S2/MOF-5/GO, Ni.S2/MOF-5/GO, Mo.S2/MOF-5/GO, and Ni/Mo.S2/MOF-5 nanocomposites by using a metal-organic framework (MOF-5) and graphene oxide (GO) as a precursor. The introduction of NixMoxS2 facilitates the unique interfacial charge transfer at the heterojunction, demonstrating a significant improvement in the separation effectiveness of the photochemical electron-hole pairs. To evaluate equilibrium adsorption capacity, time, pH, and concentration of organic pollutants were used as experimental parameters. The adsorption kinetics data reveals pseudo-first-order (R2 = 0.965) kinetics when Ni/Mo.S2/MOF-5/GO photocatalyst was irradiated under light for 90 min against MOX degradation. This led to a narrow energy band gap (2.06 eV in Ni/Mo.S2/MOF-5/GO, compared to 2.30 eV in Ni/Mo.S2/MOF-5), as well as excellent photocatalytic activity in the photodegradation of moxifloxacin (MOX), listed in order: Ni/Mo.S2/MOF-5/GO (95%) > Ni.S2/MOF-5/GO (93%) > Mo.S2/MOF5/GO (90%) > Ni/Mo.S2/MOF-5 (86%) in concentrations up to 2.0 mgL−1, caused by the production of superoxide (O2•−) and hydroxide (OH•) radicals, which encouraged the effective photocatalytic activities of the heterostructure. After five successive tests demonstrating its excellent mechanical stability, the impressive recyclability results for the Ni/Mo.S2/MOF-5/GO revealed only a tiny variation in efficiency from 95% (for the first three runs) to 93% (in the fourth run) and 90% (in the fifth run). These findings show that the heterostructure of Ni/Mo.S2/MOF-5/GO is an effective heterojunction photocatalyst for the quick elimination of moxifloxacin (MOX) from aqueous media.
Neonatal Abstinence Syndrome in Infants with Prenatal Exposure to Methadone versus Buprenorphine
Authors: Kushnir Alla , Bhavsar Ravi , Hanna Emad , Hegyi Thomas
Published: June 2023

Neonatal abstinence syndrome (NAS) has been of increasing concern. Studies suggest that prenatal exposure to buprenorphine may be preferred to methadone in regard to neonatal withdrawal. Our aim was to determine whether the incidence and severity of NAS are different between babies prenatally exposed to methadone or buprenorphine in pregnancy. This retrospective analysis of infants ≥ 35-weeks-old exposed to methadone/buprenorphine alone or in conjunction with other substances in utero. They were divided into four groups: 1—methadone alone (Met), 2—buprenorphine alone (Bup), 3 and 4—those exposed to methadone and buprenorphine, respectively, in conjunction with other drugs (Met+ and Bup+). The frequency of NAS treatment, duration of treatment (LOT) and length of stay (LOS) were compared between groups. Of the 290 mothers, 59% were in the Met group, 18% in the Bup group, 14% in the Met or Bup and another opiate group, and 9% took methadone or buprenorphine plus various other substances. Infants born to Met/Met+ mothers had a four-times higher likelihood of developing NAS (p < 0.001). There was no difference in the LOS (p = 0.08) or LOT (p = 0.11) between groups. The buprenorphine treatment in pregnancy decreased the risk of babies developing NAS. However, once the NAS required pharmacological treatment, the type of maternal prenatal exposure did not affect the LOS or LOT.
An Interesting Case of Neonatal AKI: What Is the Time to Consider Anuria Irreversible?
Authors: Gatto Antonio , Tiberi Eloisa , Ferretti Serena , Santoro Valerio , Piersanti Alessandra , Paradiso Filomena Valentina , Nanni Lorenzo , Iezzi Roberto , Posa Alessandro , Costa Simonetta , Vento Giovanni
Published: June 2023

Acute kidney injury is a frequent complication for critical newborns. Its management is a significant challenge, especially in extremely low-birth-weight (ELBW) infants. Currently, peritoneal dialysis (PD) is the most manageable treatment. However, data are lacking regarding when diuresis can be declared irreversible relative to the start of PD. A female infant born at 28 + 0 weeks with a birth weight of 800 g by monochorionic diamniotic pregnancy, complicated by twin-to-twin transfusion syndrome, developed acute renal failure on the second day of life because of long-term intrauterine hypoperfusion. PD was started on day 7. The patient remained anuric until the 52nd day of dialysis, when she presented adequate urine output of 2.5 mL/kg/h and PD was suspended for 11 days. After an episode of sepsis, PD was re-started, and after 50 days of treatment, given a urine output of 1.5 mL/kg/h, it was discontinued. The patient died on day 132 after a disseminate infection, which led to multiorgan failure. In ELBW infants, PD is a valid therapeutic instrument to treat patients with renal failure. Despite the evidence of low renal functional reserve in these patients, the duration of recovery from diuresis after a period of anuria can be very long.
Lateral Humeral Condyle Fractures in Pediatric Patients
Authors: Saris Tim F. F. , Eygendaal Denise , The Bertram , Colaris Joost W. , van Bergen Christiaan J. A.
Published: June 2023

Lateral humeral condyle fractures are frequently seen in pediatric patients and have a high risk of unfavorable outcomes. A fall on the outstretched arm with supination of the forearm is the most common trauma mechanism. A physical examination combined with additional imaging will confirm the diagnosis. Several classifications have been described to categorize these fractures based on location and comminution. Treatment options depend on the severity of the fracture and consist of immobilization in a cast, closed reduction with percutaneous fixation, and open reduction with fixation. These fractures can lead to notable complications such as lateral condyle overgrowth, surgical site infection, pin tract infections, stiffness resulting in decreased range of motion, cubitus valgus deformities, ‘fishtail’ deformities, malunion, non-union, avascular necrosis, and premature epiphyseal fusion. Adequate follow-up is therefore warranted.
Correction: Okui, T. Analysis of an Association between Preterm Birth and Parental Educational Level in Japan Using National Data. Children 2023, 10, 342
Authors: Okui Tasuku
Published: June 2023

In the original publication [...]
Evaluation of Anal Sphincter with High Resolution Anorectal Manometry and 3D Reconstruction in Patients with Anorectal Malformation
Authors: Caruso Anna Maria , Bommarito Denisia , Girgenti Vincenza , Amato Glenda , Calabrese Ugo , Figuccia Adele , Baldanza Fabio , Grasso Francesco , Giglione Emanuela , Casuccio Alessandra , Milazzo Mario Pietro Marcello , Di Pace Maria Rita
Published: June 2023

Background: Patients with anorectal malformation (ARM) need long-term follow-up, in order to evaluate fecal continence; the main predictors of longer-term success are the type of ARM, associated anomalies and sacral integrity. Three-Dimensional High Resolution Anorectal Manometry (3D-HRAM) gives detailed information on pressure on the anal complex profile. Our objective was to analyze anal sphincter activity in ARM patients with 3D-HRAM establishing the correlation between manometric and clinical data. Methods: Forty ARM patients were submitted to 3D-HRAM: manometric, anatomical and clinical scores were correlated with each other and with the bowel management response (BM). Results: A positive correlation between all scores and types of ARM was found: in high ARM and in patients with spinal anomalies (regardless to ARM type) lower scores were reported and even after BM they did not achieve good continence. Conclusions: 3D-HRAM gives detailed data on the functional activity of the anal sphincter complex. Our study revealed a correlation between manometric parameters and clinical outcomes, confirming spinal malformations and ARM type as the most important prognostic risk factors for a bad outcome. Specific sphincteric defects can also be explored with manometry, allowing for tailored bowel management strategies.
Capacity Building in Remote Facilitation of Newborn Resuscitation
Authors: Ahn Emily , Kamath-Rayne Beena D. , Perlman Jeffrey , Berkelhamer Sara
Published: June 2023

The past decade has been notable for widespread dissemination of newborn resuscitation training in low-resource settings through simplified training programs including Helping Babies Breathe. Since 2020, implementation efforts have been impacted by restrictions on travel and in-person gatherings with the SARS-CoV-2 pandemic, prompting the development of alternative methods of training. While previous studies have demonstrated feasibility of remote neonatal resuscitation training, this perspective paper covers common barriers identified and key lessons learned developing a cadre of remote facilitators. Challenges of remote facilitation include mastering videoconferencing platforms, establishing personal connections, and providing effective oversight of skills practice. Training sessions can be used to support facilitators in acquiring comfort and competency in harnessing videoconferencing platforms for effective facilitation. Optimization of approaches and investment in capacity building of remote facilitators are imperative for effective implementation of remote neonatal resuscitation training.
Using Dancesport as an Educational Resource for Improving Institutionalized Children’s Learning Strategies
Authors: Tomescu Gabriela , Stănescu Monica-Iulia , Manos Mihaela , Dina Liliana , Aivaz Kamer-Ainur
Published: June 2023

Introduction: Specialized studies mention that extracurricular activities (including dance) contribute to the stimulation of multiple intelligences, on whose development the educational process and academic success depend. The aims of the study were to investigate the benefits of dancesport for the development of institutionalized children’s learning strategies, and to examine gender-dependent differences in learning strategies, as well as to formulate possible recommendations regarding the practice of dance at the age of preadolescence, from the perspective of school success vectors. Methods: Through the School Motivation and Learning Strategies Inventory (SMALSI), we could observe the changes produced in children from the initial phase to the final assessment at the end of a dancesport program. The intervention took place over a period of six months with a frequency of two lessons per week, with each lesson lasting 60 min, and aimed to increase school motivation and performance, considering the learning strategies used by institutionalized children. Thirty institutionalized children, aged 11–12 years old, participated in the research, during which they did not engage in other extracurricular physical activities. The preadolescents were assessed using the School Motivation and Learning Strategies Inventory (SMALSI). This self-report rating scale measures nine areas associated with learning strategies, six of which focus on student strengths (study strategies, note-taking/listening skills, reading/comprehension strategies, writing/research skills, test-taking strategies, and time management/organization techniques), and three are aimed at student liabilities (low academic motivation, test anxiety, and concentration/attention difficulties). Results: The results show that the biggest improvements in the case of institutionalized children were recorded for study strategies, effectiveness of test-taking strategies, and concentration difficulties. Girls registered significantly better results than boys only in the case of study strategies and for writing/research skills (Mann–Whitney test was used). Discussion: The study demonstrates the benefits of dancesport practice for the development of institutionalized children’s learning strategies, creating a foundation for the improvement of their academic performance and school integration. Conclusions: At the end of the dance program, significant improvements in academic interest were observed due to the testing strategies used. Better results were also obtained for the scales of anxiety and difficulty concentrating during tests, where average scores decreased significantly.
Effect of Culturally Adapted Dental Visual Aids on Anxiety Levels in Children with Autism Spectrum Disorder: A Randomized Clinical Trial
Authors: Aljubour Ala , AbdElBaki Medhat , El Meligy Omar , Al-Jabri Basma , Sabbagh Heba
Published: June 2023

Autism spectrum disorder (ASD) prevalence has risen dramatically in recent decades; it is now common for children with ASD to seek dental care. Because their distinct behavioral patterns prevent them from receiving dental care in a traditional dental clinic, structured dental visual aids are required to help prepare them for their dental appointment. This study aimed to test the effect of “culturally adapted dental visual aids” in decreasing anxiety levels during dental visits in children with autism spectrum disorder (ASD). A randomized, controlled, blinded clinical trial was performed. Sixty-four children with ASD ages 6–12 years were assigned randomly into test and control groups based on the type of dental visual aids they received. The test group received “culturally adapted dental visual aids” created especially for the study, and the control group received “regular dental visual aids”. Anxiety levels were assessed before and after using both dental visual aids. All data were processed using SPSS version 25.0. The test group had a significant decrease in anxiety levels compared to the control group (p < 0.001). The “culturally adapted dental visual aids” have effectively reduced anxiety levels in children with ASD during dental visits.
Hair Growth Effect of DN106212 in C57BL/6 Mouse and Its Network Pharmacological Mechanism of Action
Authors: Baek Ji Yun , Kim Byoung Ha , Kim Dong-Wook , Lee Won-Yung , Kim Chang Eop , Kim Hyun-Young , Pyo Jaesung , Park Eun-Seok , Kang Ki Sung
Published: June 2023

Centipeda minima (CMX) has been widely investigated using network pharmacology and clinical studies for its effects on hair growth via the JAK/STAT signaling pathway. Human hair follicle papilla cells exhibit hair regrowth through the expression of Wnt signaling-related proteins. However, the mechanism of action of CMX in animals has not been elucidated fully. This study examined the effect of induced hair loss and its side-effects on the skin, and observed the mechanism of action of an alcoholic extract of CMX (DN106212) on C57BL/6 mice. Our results showed that DN106212 was more effective in promoting hair growth than dimethyl sulfoxide in the negative control and tofacitinib (TF) in the positive control when mice were treated with DN106212 for 16 days. We confirmed that DN106212 promotes the formation of mature hair follicles through hematoxylin and eosin staining. We also found that the expression of vascular endothelial growth factor (Vegfa), insulin-like growth factor 1 (Igf1), and transforming growth factor beta 1 (Tgfb1) is related to hair growth using PCR. DN106212-treated mice had significantly higher expression of Vegfa and Igf1 than TF-treated ones, and inhibiting the expression of Tgfb1 had similar effects as TF treatment. In conclusion, we propose that DN106212 increases the expression of hair growth factors, promotes the development of hair follicles, and promotes hair growth. Although additional experiments are needed, DN106212 may serve as an experimental basis for research on natural hair growth-promoting agents.
Extrusion-Based Additive Manufacturing of the Ti6Al4V Alloy Parts
Authors: Krinitcyn Maksim , Pervikov Alexandr , Svarovskaya Natalya , Lozhkomoev Alexandr , Lerner Marat
Published: June 2023

The paper shows the possibility of synthesizing microparticles coated with nanoparticles by electric explosion of a wire made of Ti-6Al-4V alloy. Particles in which the core is a microparticle and the shell of a nanoparticle can provide effective sliding of the microparticles relative to each other and are promising for obtaining flowable metal-polymer compositions filled with powder up to 70 vol.%. Such compositions are promising feedstocks for the additive molding of complex metal parts, for example, customized implants from the Ti-6Al-4V alloy, by material extrusion. The article describes the properties of feedstock based on micro- and nanoparticles of the Ti-6Al-4V alloy, the microstructure and some mechanical properties of sintered samples. The structure, bending strength and Vickers hardness of additively formed samples sintered at a temperature of 1200 °C was investigated.
Rheological Properties of Composite Inorganic Micropowder Asphalt Mastic
Authors: Guo Tengteng , Chen Haijun , Tang Deqing , Ding Shengquan , Wang Chaohui , Wang Decai , Chen Yuanzhao , Li Zhenxia
Published: June 2023

Graphene Tourmaline Composite Micropowder (hereinafter referred to as GTCM) modified asphalt was prepared by the ball milling method. The effects of different temperatures and different frequencies on the high-temperature performance of composite-modified asphalt were evaluated by dynamic shear rheological test, and the viscoelastic properties of composite-modified asphalt under different stresses and different temperatures were analyzed. The low-temperature rheological properties of GTCM-modified asphalt were analyzed by bending beam rheological test, and its mechanism was analyzed by Fourier transform infrared spectroscopy (FTIR) test. The results show that the temperature sensitivity and anti-aging resistance of GTCM-modified asphalt are significantly higher than that of tourmaline-modified asphalt. The improvement effect gradually increases with the increase in graphene powder content, and its addition does not change the viscoelastic properties of asphalt. The complex shear modulus and phase angle of GTCM-modified asphalt at appropriate temperatures are more conducive to tourmaline-modified asphalt and matrix asphalt, which can improve the rutting resistance of asphalt. In the same type, with the increase in composite modified micropowder content, the rutting resistance of modified asphalt is better. The improvement of rutting resistance of GTCM-0.5, GTCM-1.0 and GTCM-1.5-modified asphalt can reach 12.95%, 10.12% and 24.25%, respectively; the improvement range is more complicated due to temperature and frequency changes. The GTCM-modified asphalt has good low-temperature crack resistance. The creep stiffness modulus of GTCM-modified asphalt decreases with the increase in load time under different types and dosages, and its stiffness modulus is smaller than that of tourmaline-modified asphalt and mineral powder asphalt mastic. The creep rate increases with the extension of load time, which is greater than that of tourmaline-modified asphalt and mineral powder asphalt mastic. When the load was 60 s, the creep stiffness modulus of GTCM-0.5, GTCM-1.0 and GTCM-1.5-modified asphalt decreased by 5.75%, 6.97% and 13.73%, respectively, and the creep rate increased by 1.37%, 2.52% and 4.35%, respectively. After adding GTCM or tourmaline to the matrix asphalt, no new functional groups were produced due to the chemical reaction with the asphalt.
Feet Segmentation for Regional Analgesia Monitoring Using Convolutional RFF and Layer-Wise Weighted CAM Interpretability
Authors: Aguirre-Arango Juan Carlos , Álvarez-Meza Andrés Marino , Castellanos-Dominguez German
Published: June 2023

Regional neuraxial analgesia for pain relief during labor is a universally accepted, safe, and effective procedure involving administering medication into the epidural. Still, an adequate assessment requires continuous patient monitoring after catheter placement. This research introduces a cutting-edge semantic thermal image segmentation method emphasizing superior interpretability for regional neuraxial analgesia monitoring. Namely, we propose a novel Convolutional Random Fourier Features-based approach, termed CRFFg, and custom-designed layer-wise weighted class-activation maps created explicitly for foot segmentation. Our method aims to enhance three well-known semantic segmentation (FCN, UNet, and ResUNet). We have rigorously evaluated our methodology on a challenging dataset of foot thermal images from pregnant women who underwent epidural anesthesia. Its limited size and significant variability distinguish this dataset. Furthermore, our validation results indicate that our proposed methodology not only delivers competitive results in foot segmentation but also significantly improves the explainability of the process.
Extended Online DMD and Weighted Modifications for Streaming Data Analysis
Authors: Nedzhibov Gyurhan
Published: June 2023

We present novel methods for computing the online dynamic mode decomposition (online DMD) for streaming datasets. We propose a framework that allows incremental updates to the DMD operator as data become available. Due to its ability to work on datasets with lower ranks, the proposed method is more advantageous than existing ones. A noteworthy feature of the method is that it is entirely data-driven and does not require knowledge of any underlying governing equations. Additionally, we present a modified version of our proposed approach that utilizes a weighted alternative to online DMD. The suggested techniques are demonstrated using several numerical examples.
Effect of Iron-Doped TiO2 Nanotubes on the Hydration of Tricalcium Silicate
Authors: Qattali S. Mohd. Yonos , Pritzel Christian , Kowald Torsten , Moni S. M. Fuad Kabir , Killian Manuela S. , Trettin Reinhard
Published: June 2023

Environmental pollution is one of the most serious and global problems for humans. Photocatalysis is a promising technology to control environmental pollution via the utilization of semiconductor materials as a photocatalyst. In this study, iron-doped TiO2 nanotubes (Fe/TiNTs) with an increased photocatalytic effect at longer wavelengths compared to undoped TiNTs were used, and the effect on the early hydration and mechanical properties of the main clinker phase tricalcium silicate (C3S) was investigated for the first time. Prior to the incorporation of nanotubes into C3S, it was treated with a supersaturated Ca(OH)2 solution. The addition of 1 and 2 wt.% of Fe/TiNTs into the C3S system significantly accelerated the course of hydration. The degree of hydration for the hydration products after 8 h, 1 d and 7 d have improved. The enhancement of compressive strength after 7 d, 14 d and 28 d were observed compared to normal TiO2 nanotubes (TiNTs). Treating Fe/TiNTs with a supersaturated Ca(OH)2 solution revealed a stronger interaction between Ca2+-ions and nanotubes. Fe/TNTs were synthesized via a modified hydrothermal process. The study shows that Fe/TiNTs can be used as a nanomaterial in cement-based building materials due to their enhanced interaction with the system.
The Application of 3D-ED to Distinguish the Superstructure of Sr1.2Ca0.8Nb2O7 Ignored in SC-XRD
Authors: Mei Kaili , Zhang Kejia , Xu Jungu , Zhou Zhengyang
Published: June 2023

Compared to X-rays, electrons have stronger interactions with matter. In electron diffraction, the low-order structure factors are sensitive to subtle changes in the arrangement of valence electrons around atoms when the scattering vector is smaller than the critical scattering vector. Therefore, electron diffraction is more advantageous for studying the distribution of atoms in the structure with atomic numbers smaller than that of sulfur. In this work, the crystal structure of Sr1.2Ca0.8Nb2O7 (SCNO-0.8) was analyzed using single-crystal X-ray diffraction (SC-XRD) and three-dimensional electron diffraction (3D-ED) techniques, respectively. Interestingly, the superstructure could only be identified by the 3D-ED technique, while no signal corresponding to the superstructure was detected from the SC-XRD data. The superstructure in SCNO-0.8 was disclosed to be caused by different tilting of NbO6 octahedra and the displacements of Sr/Ca atoms in the different atomic layers perpendicular to the a-axis. Therefore, the application of 3D-ED provides an effective method for studying superstructures caused by ordered arrangements of light atoms.
The Effects of Second Primary Malignancies and Frailty on Overall Survival and Mortality in Geriatric Turkish Patients with Multiple Myeloma
Authors: Ipek Yildiz , Karademir Nevra , Yilmazer Onur , Yilmaz Guven
Published: June 2023

The study aims to investigate second primary malignancy (SPM) development and frailty in Turkish geriatric patients with multiple myeloma (MM) and to assess the relationship between overall survival (OS) and various characteristics including SPM and frailty. Seventy-two patients diagnosed with and treated for MM were enrolled in the study. Frailty was determined by the IMWG Frailty Score. Fifty-three participants (73.6%) were found to have clinically-relevant frailty. Seven patients (9.7%) had SPM. Median follow-up was 36.5 (22–48.5) months, and 17 patients died during the follow-up period. Overall (OS) was 49.40 (45.01–53.80) months. Shorter OS was found in patients with SPM (35.29 (19.66–50.91) months) compared to those without (51.05 (46.7–55.4) months) (Kaplan–Meier; p = 0.018). The multivariate cox proportional hazards model revealed that patients with SPM had 4.420-fold higher risk of death than those without (HR: 4.420, 95% CI: 1.371–14.246, p = 0.013). Higher ALT levels were also independently associated with mortality (p = 0.038). The prevalence of SPM and frailty was high in elderly patients with MM in our study. The development of SPM independently reduces survival in MM; however, frailty was not found to be independently associated with survival. Our results suggest the importance of individualized approaches in the management of patients with MM, particularly with regard to SPM development.
Investigation of the Incidence and Geographic Distribution of Bone and Soft Tissue Sarcomas in Canada: A National Population-Based Study
Authors: Alkazemi Badria , Ghazawi Feras M. , Lagacé François , Nechaev Vladimir , Zubarev Andrei , Litvinov Ivan V.
Published: June 2023

Sarcomas are a heterogeneous group of mesenchymal malignancies with various genetic and environmental risk factors. This study analyzed the epidemiology of sarcomas to gain insight into the incidence and mortality rates of these cancers in Canada, as well as to elucidate their potential environmental risk factors. Data for this study were obtained from le Registre Québécois du Cancer (LRQC) and from the Canadian Cancer Registry (CCR) for the period from 1992 to 2010. Mortality data were obtained from the Canadian Vital Statistics (CVS) database for the period from 1992 to 2010 using the International Classification of Diseases for Oncology, ICD-O-3, ICD-9, or ICD-10 codes, for all subtypes of sarcomas. We found that the overall sarcoma incidence in Canada decreased during the study period. However, there were select subtypes with increasing incidence. Peripherally located sarcomas were found to have lower mortality rates compared to axially located sarcomas, as expected. Clustering of Kaposi sarcoma cases in self-identified LGBTQ+ communities and in postal codes with a higher proportion of African-Canadian and Hispanic populations was observed. Forward Sortation Area (FSA) postal codes with a lower socioeconomic status also had higher Kaposi sarcoma incidence rates.
Taxonomy and Melanism Patterns of Freshwater Leeches in the Genus Glossiphonia (Hirudinea: Glossiphoniidae) from Northeast Asia
Authors: Bolotov Ivan N. , Eliseeva Tatyana A. , Kondakov Alexander V. , Kropotin Alexander V. , Aksenova Olga V. , Bespalaya Yulia V. , Travina Oksana V. , Gofarov Mikhail Y. , Kim Sang Ki , Lee Jin Hee , Vinarski Maxim V.
Published: June 2023

Freshwater leeches belonging to the genus Glossiphonia Johnson, 1816 are fairly common benthic annelids in freshwater ecosystems throughout Eurasia, but the taxonomy of this group remains poorly resolved, and the species content of some local faunas is unsatisfactorily known. For example, it was thought that the only widespread species, Glossiphonia complanata (Linnaeus, 1758), dwells in Northeast Asia. Here, we revise the Northeast Asian Glossiphonia leeches with an integrative taxonomic approach. This revision is based on the largest DNA-sequence and morphological datasets collected to date. Two Glossiphonia species are recorded from the region. First, Glossiphonia koreaensissp. nov., a putative regional endemic species, was discovered in South Korea. Second, a valid name and complete description are provided for Glossiphonia mollissima Moore, 1898 (non-Grube, 1871). The latter name was wrongly applied through misidentification and, according to ICZN (Article 49), is unavailable. Hence, we propose a new name, Glossiphonia mooreisp. nov., in memory of Dr. J. Percy Moore, who discovered this leech. It is a prospective trans-Beringian species, ranging through Eastern Siberia, the Russian Far East, and Alaska (although Alaskan records are based on nonsequenced samples), showing a significant proportion of melanic individuals in samples north of the Arctic Circle. The latter pattern may reflect substrate-induced cryptic coloration (camouflage), but this hypothesis needs to be statistically checked in the future. Finally, a complete checklist of Glossiphonia species is presented.
The Água Clara Cave System in Northeastern Brazil: The Richest Hotspot of Subterranean Biodiversity in South America
Authors: Ferreira Rodrigo Lopes , Berbert-Born Mylène , Souza-Silva Marconi
Published: June 2023

The Água Clara Cave System (ACCS) in Brazil is the richest hotspot of subterranean biodiversity in South America. In this study, we present an updated list of cave-restricted species in the ACCS and compare it with previously published hotspots in Brazil. Our list of cave-obligate fauna comprises 31 species, including 23 troglobionts and 8 stygobionts. The exceptional diversity of the ACCS can be attributed to factors related to the high dispersal potential of cave fauna within the system, high surface productivity, and the large size of the cave system size. Notably, we observed highly troglomorphic species in the ACCS, some of which are the most troglomorphic species in their respective groups in Brazil. The huge volume of galleries, high humidity, and trophic conditions prevailing in the ACCS may have played a role in shaping the strong troglomorphic traits observed in these species. However, all the obligate cave species in the ACCS require conservation attention and are at an elevated risk of extinction due to their limited ranges, few occurrences, and many potential threats. This study sheds light on the biodiversity and conservation status of cave-restricted fauna in the ACCS and highlights the importance of protecting these unique ecosystems.
In Vitro Evaluation of Arylsulfonamide Derivatives against Trypanosoma cruzi
Authors: Junior Policarpo Ademar Sales , Murta Silvane Maria Fonseca , Taylor Jason Guy
Published: June 2023

Chagas disease is caused by the parasite protozoan Trypanosoma cruzi (T. cruzi) and affects millions of people in over 21 countries in around the world. The main forms of treatment of this disease, benznidazole and nifurtimox, present low cure rates in the chronic phase and often have serious side effects. Herein, we describe the evaluation of the trypanocidal activity of arylsulfonamides. The arylsulfonamides were evaluated in vitro against the amastigote and trypomastigote forms of the parasite. An enantiomerically pure example of arylsulfonamide was also tested. The initial results suggest that the arylsulfonamides evaluated act as DNA binding agents. A moderate activity was monitored against the intracellular forms of T. cruzi, with the best compound exhibiting an IC50 value at 22 μM and a selectivity index of 120. However, the level of activity was not favorable for progressing towards in vivo studies for Chagas disease.
Joint Diagnostic Method of Tumor Tissue Based on Hyperspectral Spectral-Spatial Transfer Features
Authors: Du Jian , Tao Chenglong , Xue Shuang , Zhang Zhoufeng
Published: June 2023

In order to improve the clinical application of hyperspectral technology in the pathological diagnosis of tumor tissue, a joint diagnostic method based on spectral-spatial transfer features was established by simulating the actual clinical diagnosis process and combining micro-hyperspectral imaging with large-scale pathological data. In view of the limited sample volume of medical hyperspectral data, a multi-data transfer model pre-trained on conventional pathology datasets was applied to the classification task of micro-hyperspectral images, to explore the differences in spectral-spatial transfer features in the wavelength of 410–900 nm between tumor tissues and normal tissues. The experimental results show that the spectral-spatial transfer convolutional neural network (SST-CNN) achieved a classification accuracy of 95.46% for the gastric cancer dataset and 95.89% for the thyroid cancer dataset, thus outperforming models trained on single conventional digital pathology and single hyperspectral data. The joint diagnostic method established based on SST-CNN can complete the interpretation of a section of data in 3 min, thus providing a new technical solution for the rapid diagnosis of pathology. This study also explored problems involving the correlation between tumor tissues and typical spectral-spatial features, as well as the efficient transformation of conventional pathological and transfer spectral-spatial features, which solidified the theoretical research on hyperspectral pathological diagnosis.
Perfusion Status in Lacunar Stroke: A Pathophysiological Issue
Authors: Zedde Marialuisa , Napoli Manuela , Grisendi Ilaria , Assenza Federica , Moratti Claudio , Valzania Franco , Pascarella Rosario
Published: June 2023

The pathophysiology of lacunar infarction is an evolving and debated field, where relevant information comes from histopathology, old anatomical studies and animal models. Only in the last years, have neuroimaging techniques allowed a sufficient resolution to directly or indirectly assess the dynamic evolution of small vessel occlusion and to formulate hypotheses about the tissue status and the mechanisms of damage. The core–penumbra concept was extensively explored in large vessel occlusions (LVOs) both from the experimental and clinical point of view. Then, the perfusion thresholds on one side and the neuroimaging techniques studying the perfusion of brain tissue were focused and optimized for LVOs. The presence of a perfusion deficit in the territory of a single small perforating artery was negated for years until the recent proposal of the existence of a perfusion defect in a subgroup of lacunar infarcts by using magnetic resonance imaging (MRI). This last finding opens pathophysiological hypotheses and triggers a neurovascular multidisciplinary reasoning about how to image this perfusion deficit in the acute phase in particular. The aim of this review is to summarize the pathophysiological issues and the application of the core–penumbra hypothesis to lacunar stroke.
Maternal and Offspring Cardiovascular Function following Pregnancy with Hypertensive Disorder
Authors: Garcia-Gonzalez Coral , Nunez Elena , Zhang Huijing , Nicolaides Kypros H. , Charakida Marietta
Published: June 2023

Background: Hypertensive disorders of pregnancy (HDP) have been associated with increased cardiovascular risk for the mother and her offspring. However, it remains unknown whether cardiovascular changes are present in the postpartum period. Methods: This was a cross-sectional study of women with singleton pregnancies. We recruited 33 women (20 following preeclampsia and 13 following gestational hypertension) and an equal number of women with uncomplicated pregnancy. Conventional and more advanced echocardiographic modalities such as speckle tracking were used to assess maternal and offspring cardiac function at 3–9 months postpartum. Results: In women with HDP compared to those without, there was higher mean arterial pressure (mean 92.3 (SD 7.3) vs. 86.8 (8.3) mmHg, p = 0.007), left-ventricular mass indexed for body-surface area (64.5 (10.5) vs. 56.8 (10.03), p < 0.003), and E/e′ (3.6 (0.8) vs. 3.1 (0.9), p = 0.022). There were no significant differences between groups in maternal left-ventricular systolic-functional indices and in offspring cardiac function between groups. Conclusions: At 3–9 months postpartum, mothers with HDP had higher blood pressure, higher left-ventricular mass, and reduced left-ventricular diastolic function. However, in their offspring, cardiac function was preserved. These findings suggest that mothers who experienced an HDP would benefit from cardio-obstetric follow-up in the postpartum period.
An Anatomical Template for the Normalization of Medical Images of Adult Human Hands
Authors: Hegdé Jay , Tustison Nicholas J. , Parker William T. , Branch Fallon , Yanasak Nathan , Stumpo Lorie A.
Published: June 2023

During medical image analysis, it is often useful to align (or ‘normalize’) a given image of a given body part to a representative standard (or ‘template’) of that body part. The impact that brain templates have had on the analysis of brain images highlights the importance of templates in general. However, templates for human hands do not exist. Image normalization is especially important for hand images because hands, by design, readily change shape during various tasks. Here we report the construction of an anatomical template for healthy adult human hands. To do this, we used 27 anatomically representative T1-weighted magnetic resonance (MR) images of either hand from 21 demographically representative healthy adult subjects (13 females and 8 males). We used the open-source, cross-platform ANTs (Advanced Normalization Tools) medical image analysis software framework, to preprocess the MR images. The template was constructed using the ANTs standard multivariate template construction workflow. The resulting template image preserved all the essential anatomical features of the hand, including all the individual bones, muscles, tendons, ligaments, as well as the main branches of the median nerve and radial, ulnar, and palmar metacarpal arteries. Furthermore, the image quality of the template was significantly higher than that of the underlying individual hand images as measured by two independent canonical metrics of image quality.
Clinicopathological Analysis of Complicated Colorectal Cancer: A Five-Year Retrospective Study from a Single Surgery Unit
Authors: Savu Elena , Vasile Liviu , Serbanescu Mircea-Sebastian , Alexandru Dragos Ovidiu , Gheonea Ioana Andreea , Pirici Daniel , Paitici Stefan , Mogoanta Stelian Stefanita
Published: June 2023

Patients with primary colorectal cancer can present with obstructions, tumor bleeding, or perforations, which represent acute complications. This paper aimed to analyze and compare the clinical and pathological profiles of two patient groups: one with colorectal cancer and a related complication and another without any specific complication. We performed a five-year retrospective study on colorectal cancer patients admitted to a surgery unit and comparatively explored the main clinical and pathological features of the tumors belonging to the two groups. A total of 250 patients with colorectal cancer were included in the analysis. Of these, 117 (46.8%) had presented a type of complication. The comparative analysis that examined several clinical and pathological parameters showed a statistically significant difference for unfavorable prognosis factors in the group with complications. This was evident for features such as vascular and perineural invasion, lymph node involvement, pathological primary tumor stage, and TNM stage. Colorectal cancers with a related complication belonged to a group of tumors with a more aggressive histopathologic profile and more advanced stages. Furthermore, the comparable incidence of cases in the two groups of patients warrants further efforts to be made in terms of early detection and prognosis prediction of colorectal cancer.
Performance Evaluation of the New Chemiluminescence Immunoassay CL-1200i for HBV, HIV Panels
Authors: Nicolai Eleonora , Sarubbi Serena , Pelagalli Martina , Basile Valerio , Terrinoni Alessandro , Minieri Marilena , Cennamo Oreste , Grelli Sandro , Bernardini Sergio , Pieri Massimo
Published: June 2023

Infectious diseases such as HIV and HBV are a global concern for their impact in terms of public health and costs for national health services. A central role in contrasting the spread of the infections is represented by timely diagnosis. The speed of detection depends on several factors including the type of test used. Antibody response to hepatitis B surface antigens (anti-HBs) is an important serological marker used for HBV-infection detection. The aim of this study was to compare the performance of the Abbott system and of the new analyser Mindray 1200i in the detection of HBV- and HIV-infections. Clinical serum samples were collected from patients randomly selected from PTV University Hospital of University of Rome “Tor Vergata” and tested for HBV and HIV antibodies. Samples were evaluated by Mindray Cl 1200i CLIA screening tests for HBV and HIV and the results were compared with the Abbott Architect analytical system, the routine instrument of the hospital clinical biochemistry laboratory. Precision study, linearity, and carryover were performed on the results obtained. The agreement between the results of the Abbott and Mindray CLIA ranged from 99% to 100% and the discrepancy rate from 0% to 1%. The measurements demonstrated that the Mindray CL-1200i platform offers high-level performance with accurate and consistent test results and could represent a valuable tool if implemented in routine analysis.
Predicting Network Hardware Faults through Layered Treatment of Alarms Logs
Authors: Massaro Antonio , Kostadinov Dimitre , Silva Alonso , Obeid Guzman Alexander , Aghasaryan Armen
Published: June 2023

Maintaining and managing ever more complex telecommunication networks is an increasingly difficult task, which often challenges the capabilities of human experts. There is a consensus both in academia and in the industry on the need to enhance human capabilities with sophisticated algorithmic tools for decision-making, with the aim of transitioning towards more autonomous, self-optimizing networks. We aimed to contribute to this larger project. We tackled the problem of detecting and predicting the occurrence of faults in hardware components in a radio access network, leveraging the alarm logs produced by the network elements. We defined an end-to-end method for data collection, preparation, labelling, and fault prediction. We proposed a layered approach to fault prediction: we first detected the base station that is going to be faulty and at a second stage, and using a different algorithm, we detected the component of the base station that is going to be faulty. We designed a range of algorithmic solutions and tested them on real data collected from a major telecommunication operator. We concluded that we are able to predict the failure of a network component with satisfying precision and recall.