bluuebunny/crossref_metadata_2025 huggingface dataset:
Downregulated TNF-α Levels after Cryo-Thermal Therapy Drive Tregs Fragility to Promote Long-Term Antitumor Immunity
Authors: Lou Yue , Wang Junjun , Peng Peng , Wang Shicheng , Liu Ping , Xu Lisa X.
Published: September 2021

Immunotherapy has emerged as a therapeutic pillar in tumor treatment, but only a minority of patients get benefit. Overcoming the limitations of immunosuppressive environment is effective for immunotherapy. Moreover, host T cell activation and longevity within tumor are required for the long-term efficacy. In our previous study, a novel cryo-thermal therapy was developed to improve long-term survival in B16F10 melanoma and s.q. 4T1 breast cancer mouse models. We determined that cryo-thermal therapy induced Th1-dominant CD4+ T cell differentiation and the downregulation of Tregs in B16F10 model, contributing to tumor-specific and long-lasting immune protection. However, whether cryo-thermal therapy can affect the differentiation and function of T cells in a s.q. 4T1 model remains unknown. In this study, we also found that cryo-thermal therapy induced Th1-dominant differentiation of CD4+ T cells and the downregulation of effector Tregs. In particular, cryo-thermal therapy drove the fragility of Tregs and impaired their function. Furthermore, we discovered the downregulated level of serum tumor necrosis factor-α at the late stage after cryo-thermal therapy which played an important role in driving Treg fragility. Our findings revealed that cryo-thermal therapy could reprogram the suppressive environment and induce strong and durable antitumor immunity, which facilitate the development of combination strategies in immunotherapy.
Beneficial Effects of Tamarind Trypsin Inhibitor in Chitosan–Whey Protein Nanoparticles on Hepatic Injury Induced High Glycemic Index Diet: A Preclinical Study
Authors: Aguiar Ana J. F. C. , de Queiroz Jaluza L. C. , Santos Pedro P. A. , Camillo Christina S. , Serquiz Alexandre C. , Costa Izael S. , Oliveira Gerciane S. , Gomes Ana F. T. , Matias Lídia L. R. , Costa Rafael O. A. , Passos Thaís S. , Morais Ana H. A.
Published: September 2021

Several studies have sought new therapies for obesity and liver diseases. This study investigated the effect of the trypsin inhibitor isolated from tamarind seeds (TTI), nanoencapsulated in chitosan and whey protein isolate (ECW), on the liver health status of the Wistar rats fed with a high glycemic index (HGLI) diet. The nanoformulations without TTI (CW) and ECW were obtained by nanoprecipitation technique, physically and chemically characterized, and then administered to the animals. The adult male Wistar rats (n = 20) were allocated to four groups: HGLI diet + water; standard diet + water; HGLI diet + ECW (12.5 mg/kg); and HGLI diet + CW (10.0 mg/kg), 1 mL per gagave, for ten days. They were evaluated using biochemical and hematological parameters, Fibrosis-4 Index for Liver Fibrosis (FIB-4), AST to Platelet Ratio Index (APRI) scores, and liver morphology. Both nanoparticles presented spherical shape, smooth surface, and nanometric size [120.7 nm (ECW) and 136.4 nm (CW)]. In animals, ECW reduced (p < 0.05) blood glucose (17%), glutamic oxalacetic transaminase (39%), and alkaline phosphatase (24%). Besides, ECW reduced (p < 0.05) APRI and FIB-4 scores and presented a better aspect of hepatic morphology. ECW promoted benefits over a liver injury caused by the HGLI diet.
Luteinizing Hormone Regulation of Inter-Organelle Communication and Fate of the Corpus Luteum
Authors: Przygrodzka Emilia , Plewes Michele R. , Davis John S.
Published: September 2021

The corpus luteum is an endocrine gland that synthesizes the steroid hormone progesterone. luteinizing hormone (LH) is a key luteotropic hormone that stimulates ovulation, luteal development, progesterone biosynthesis, and maintenance of the corpus luteum. Luteotropic and luteolytic factors precisely regulate luteal structure and function; yet, despite recent scientific progress within the past few years, the exact mechanisms remain largely unknown. In the present review, we summarize the recent progress towards understanding cellular changes induced by LH in steroidogenic luteal cells. Herein, we will focus on the effects of LH on inter-organelle communication and steroid biosynthesis, and how LH regulates key protein kinases (i.e., AMPK and MTOR) responsible for controlling steroidogenesis and autophagy in luteal cells.
Design and Synthesis of Water-Soluble and Potent MMP-13 Inhibitors with Activity in Human Osteosarcoma Cells
Authors: Zapico Jose Maria , Acosta Lourdes , Pastor Miryam , Rangasamy Loganathan , Marquez-Cantudo Laura , Coderch Claire , Ortin Irene , Nicolau-Sanus Maria , Puchades-Carrasco Leonor , Pineda-Lucena Antonio , Majali-Martinez Alejandro , Ramos Pilar , de Pascual-Teresa Beatriz , Ramos Ana
Published: September 2021

Osteoarthritis is a degenerative disease, often resulting in chronic joint pain and commonly affecting elderly people. Current treatments with anti-inflammatory drugs are palliative, making the discovery of new treatments necessary. The inhibition of matrix metalloproteinase MMP-13 is a validated strategy to prevent the progression of this common joint disorder. We recently described polybrominated benzotriazole derivatives with nanomolar inhibitory activity and a promising selectivity profile against this collagenase. In this work, we have extended the study in order to explore the influence of bromine atoms and the nature of the S1′ heterocyclic interacting moiety on the solubility/selectivity balance of this type of compound. Drug target interactions have been assessed through a combination of molecular modeling studies and NMR experiments. Compound 9a has been identified as a water-soluble and highly potent inhibitor with activity in MG-63 human osteosarcoma cells.
Deletion of Col15a1 Modulates the Tumour Extracellular Matrix and Leads to Increased Tumour Growth in the MMTV-PyMT Mouse Mammary Carcinoma Model
Authors: Martínez-Nieto Guillermo , Heljasvaara Ritva , Heikkinen Anne , Kaski Hanne-Kaisa , Devarajan Raman , Rinne Otto , Henriksson Charlotta , Thomson Emmi , von Hertzen Camilla , Miinalainen Ilkka , Ruotsalainen Heli , Pihlajaniemi Taina , Karppinen Sanna-Maria
Published: September 2021

Basement membrane (BM) zone-associated collagen XV (ColXV) has been shown to suppress the malignancy of tumour cells, and its restin domain can inhibit angiogenesis. In human breast cancer, as well as in many other human carcinomas, ColXV is lost from the epithelial BM zone prior to tumour invasion. Here, we addressed the roles of ColXV in breast carcinogenesis using the transgenic MMTV-PyMT mouse mammary carcinoma model. We show here for the first time that the inactivation of Col15a1 in mice leads to changes in the fibrillar tumour matrix and to increased mammary tumour growth. ColXV is expressed by myoepithelial and endothelial cells in mammary tumours and is lost from the ductal BM along with the loss of the myoepithelial layer during cancer progression while persisting in blood vessels and capillaries, even in invasive tumours. However, despite the absence of anti-angiogenic restin domain, neovascularisation was reduced rather than increased in the ColXV-deficient mammary tumours compared to controls. We also show that, in robust tumour cell transplantation models or in a chemical-induced fibrosarcoma model, the inactivation of Col15a1 does not affect tumour growth or angiogenesis. In conclusion, our results support the proposed tumour suppressor function of ColXV in mammary carcinogenesis and reveal diverse roles of this collagen in different cancer types.
Celiac Disease Defined by Over-Sensitivity to Gliadin Activation and Superior Antigen Presentation of Dendritic Cells
Authors: Hudec Michael , Riegerová Kamila , Pala Jan , Kútna Viera , Černá Marie , O´Leary Valerie Bríd
Published: September 2021

The autoimmune condition, Celiac Disease (CeD), displays broad clinical symptoms due to gluten exposure. Its genetic association with DQ variants in the human leukocyte antigen (HLA) system has been recognised. Monocyte-derived mature dendritic cells (MoDCs) present gluten peptides through HLA-DQ and co-stimulatory molecules to T lymphocytes, eliciting a cytokine-rich microenvironment. Having access to CeD associated families prevalent in the Czech Republic, this study utilised an in vitro model to investigate their differential monocyte profile. The higher monocyte yields isolated from PBMCs of CeD patients versus control individuals also reflected the greater proportion of dendritic cells derived from these sources following lipopolysaccharide (LPS)/ peptic-tryptic-gliadin (PTG) fragment stimulation. Cell surface markers of CeD monocytes and MoDCs were subsequently profiled. This foremost study identified a novel bio-profile characterised by elevated CD64 and reduced CD33 levels, unique to CD14++ monocytes of CeD patients. Normalisation to LPS stimulation revealed the increased sensitivity of CeD-MoDCs to PTG, as shown by CD86 and HLA-DQ flow cytometric readouts. Enhanced CD86 and HLA-DQ expression in CeD-MoDCs were revealed by confocal microscopy. Analysis highlighted their dominance at the CeD-MoDC membrane in comparison to controls, reflective of superior antigen presentation ability. In conclusion, this investigative study deciphered the monocytes and MoDCs of CeD patients with the identification of a novel bio-profile marker of potential diagnostic value for clinical interpretation. Herein, the characterisation of CD86 and HLA-DQ as activators to stimulants, along with robust membrane assembly reflective of efficient antigen presentation, offers CeD targeted therapeutic avenues worth further exploration.
Adopting International Learnings to Improve the Performance of New Zealand’s Infrastructure Supply Chain
Authors: Richards Jarrod , Seifan Mostafa
Published: September 2021

Growing interest in the productivity of the infrastructure sector has increased due to cost and time overruns in major projects. In this regard, many developed countries have failed to implement a framework to ensure that project success is met through newly available technologies and business initiatives to ensure the user is the most important beneficiary. This review paper provides a review of international research relating to the life cycle, firm-level operations, and collaborative business models of infrastructure projects. The review initially identified the importance that understanding key phases and procurement models has on the efficiency of a project’s life cycle. A key indicator of the likelihood of good performance across a supply chain lies with the ability to understand the efficiencies of the firm-level operations. The literature has noted that successful projects are able to perform well across an organizations end-to-end involvement and be able to share risks among mature organizations. This paper provides a review of how a collaborative business model can benefit a project lifecycle and firm-level operations. The global research currently has identified the need for a collaborative approach that reduces the risk within all organizations through common goals, effective end-to-end project systems and consideration of the entire project lifecycle. The paper provides a detailed review of international practices in an infrastructure supply chain that have the potential to address New Zealand’s infrastructure project failures.
Insights of Sea Buckthorn Extract’s Encapsulation by Coacervation Technique
Authors: Roman Diana , Condurache (Lazăr) Nina Nicoleta , Aprodu Iuliana , Enachi Elena , Barbu Vasilica , Bahrim Gabriela Elena , Stănciuc Nicoleta , Râpeanu Gabriela
Published: September 2021

Sea buckthorn (Hippophae rhamnoides L.) represents a valuable source of biologically active compounds such as carotenoids and polyphenols. High amounts of these substances are found in its fruits, bark, and leaves. However, their bioavailability is limited and must be increased in order to benefit from the properties they exert. Therefore, the purpose of this study was to increase the stability and bioavailability of sea buckthorn fruit’s bioactives. The sea buckthorn’s bioactive compounds were extracted with a solvent combination between glacial acetic acid, acetone, and water on one side and water only on the other side. Afterward, the phytochemicals from the extracts were encapsulated using the coacervation technique, followed by freeze-drying in order to obtain stable powders. The powders were characterized in terms of antioxidant activity, total carotenoids, β-carotene, lycopene, total polyphenol, and total flavonoid content, color, structure, and morphology. The phytochemical stability of the powders and their antioxidant activity was assessed during 270 days of storage at 4 °C. Moreover, the bioavailability of phytochemicals was measured during in vitro simulated digestibility. Our findings provide insights to promote carotenoids and polyphenols from sea buckthorn as bioactive ingredients with multiple purposes.
The Aggregate Index of Systemic Inflammation (AISI): A Novel Prognostic Biomarker in Idiopathic Pulmonary Fibrosis
Authors: Zinellu Angelo , Collu Claudia , Nasser Mouhamad , Paliogiannis Panagiotis , Mellino Sabrina , Zinellu Elisabetta , Traclet Julie , Ahmad Kais , Mangoni Arduino Aleksander , Carru Ciriaco , Pirina Pietro , Fois Alessandro Giuseppe , Cottin Vincent
Published: September 2021

Variable patterns of disease progression are typically observed in patients with idiopathic pulmonary fibrosis (IPF). We sought to determine the prognostic capacity of blood cell count indexes, derived from routine complete blood cell (CBC) count, in a cohort of IPF patients. The neutrophil-to-lymphocyte ratio (NLR), derived neutrophil-to-lymphocyte ratio (dNLR), monocyte-to-lymphocyte ratio (MLR), platelet-to-lymphocyte ratio (PLR), systemic inflammation index (SII), systemic inflammation response index (SIRI), and aggregate index of systemic inflammation (AISI) were calculated at baseline in a consecutive series of 82 IPF patients followed for four years. After adjusting for age, gender, body mass index, smoking status, and disease stage, only the AISI was significantly associated with mortality (HR 1.0013, 95% CI 1.0003–1.0023, p = 0.015). Patients with AISI <434 and ≥434 had a median survival from the diagnosis of 35.3 ± 15.2 and 26.6 ± 16.3 months (p = 0.015), and a four-year survival rate of 54% and 34%, respectively. The AISI, easily derivable from routine laboratory tests, is independently associated with mortality in patients with IPF. Prospective studies in larger cohorts are required to confirm this association.
Variability in Thyroid Cancer Multidisciplinary Team Meeting Recommendations Is Not Explained by Standard Variables: Outcomes of a Single Centre Review
Authors: Fenton Mark E. , Wade Sarah A. , Pirrili Bibi N. , Balogh Zsolt J. , Rowe Christopher W. , Bendinelli Cino
Published: September 2021

Multidisciplinary team (MDT) meetings are the mainstay of the decision-making process for patients presenting with complex clinical problems such as papillary thyroid carcinoma (PTC). Adherence to guidelines by MDTs has been extensively investigated; however, scarce evidence exists on MDT performance and variability where guidelines are less prescriptive. We evaluated the consistency of MDT management recommendations for T1 and T2 PTC patients and explored key variables that may influence therapeutic decision making. A retrospective review of the prospective database of all T1 and T2 PTC patients discussed by the MDT was conducted between January 2016 and May 2021. Univariate analysis (with Bonferroni correction significance calculated at p < 0.006) was performed to establish clinical variables linked to completion thyroidectomy and Radioactive iodine (RAI) recommendations. Of 468 patients presented at thyroid MDT, 144 pT1 PTC and 118 pT2 PTC met the selection criteria. Only 18% (n = 12) of pT1 PTC patients initially managed with hemithyroidectomy were recommended completion thyroidectomy. Mean tumour diameter was the only variable differing between groups (p = 0.003). pT2 patients were recommended completion thyroidectomy in 66% (n = 16) of instances. No measured variable explained the difference in recommendation. pT1 patients initially managed with total thyroidectomy were not recommended RAI in 71% (n = 55) of cases with T1a status (p = 0.001) and diameter (p = 0.001) as statistically different variables. For pT2 patients, 60% (n = 41) were recommended RAI post-total thyroidectomy, with no differences observed among groups. The majority of MDT recommendations were concordant for patients with similar measurable characteristics. Discordant recommendations for a small group of patients were not explained by measured variables and may have been accounted for by individual patient factors. Further research into the MDT decision-making process is warranted.
Predicting Outcome in an Intensive Outpatient PTSD Treatment Program Using Daily Measures
Authors: Alting van Geusau Valentijn V. P. , Mulder Jeroen D. , Matthijssen Suzy J. M. A.
Published: September 2021

It is useful to investigate factors that could predict treatment outcomes for PTSD. The current study aims to investigate the relationship between daily measured PTSD symptoms during an intensive six-day treatment program and overall post-treatment outcomes. The treatment program combines eye movement desensitization with reprocessing and prolonged exposure, as well as physical activity and psychoeducation. It was expected that for the entire duration of treatment, as well as the first half of the treatment, a greater decline in daily PTSD symptoms would be a predictor for a greater decline in PTSD symptoms at a four-week follow-up. Data from 109 PTSD-patients (87.2% female, mean age = 36.9, SD = 11.5) were used. PTSD symptoms were measured with the CAPS-5 and the self-reported PTSD checklist for DSM-5 (PCL-5). Daily PTSD symptoms were measured with an abbreviated version of the PCL-5 (8-item PCL). Latent growth curve models were used to describe changes in daily PTSD symptoms and predict treatment outcome. Results show that a greater decline in daily PTSD symptoms measured by the 8-item PCL predicts better treatment outcome (CAPS-5 and PCL-5), but that a patient’s PTSD symptoms on the first day of treatment has no predictive effect. A decline in PTSD symptoms only during the first half of treatment was also found to predict treatment outcomes. Future research should be focused on replicating the results of the current study.
Estimated Glomerular Filtration Rate as a Prognostic Factor in Urothelial Carcinoma of the Upper Urinary Tract: A Systematic Review and Meta-Analysis
Authors: Kim Min Hyuk , Yuk Hyeong Dong , Jeong Chang Wook , Kwak Cheol , Kim Hyeon Hoe , Ku Ja Hyeon
Published: September 2021

Preoperative renal function is associated with worse outcomes in patients undergoing radical nephroureterectomy (RNU). The purpose of this systemic review and meta-analysis was to determine the association of preoperative renal function with oncological outcome in patients who underwent RNU. We searched articles published up to March 2021 in PubMed, Scopus, and Embase by combining “urothelial carcinoma”, “radical nephroureterectomy”, and “estimated glomerular filtration rate”. We also manually screened the reference list for publications following general guidelines recommended by the preferred reporting items for systematic reviews and meta-analyses (PRISMA) statement. The relationship between preoperative renal function and survival was expressed as overall survival (OS), progression-free survival (PFS), and cancer-specific survival (CSS). This review and meta-analysis included 13 studies involving a total of 4668 patients who received RNU. Pooled analysis showed significant negative association of preoperative renal function with PFS (HR: 1.51, 95% CI: 1.23–1.80, p < 0.00001), CSS (HR: 1.63, 95% CI: 1.38–1.92, p < 0.00001), and OS (HR: 1.22, 95% CI: 1.10–1.35, p < 0.00001). Patients with upper tract urothelial carcinoma (UTUC) who received RNU showed a significant negative association of preoperative renal function with survival.
Pro/Antioxidant State as a Potential Biomarker of Schizophrenia
Authors: Juchnowicz Dariusz , Dzikowski Michał , Rog Joanna , Waszkiewicz Napoleon , Karakuła Kaja Hanna , Zalewska Anna , Maciejczyk Mateusz , Karakula-Juchnowicz Hanna
Published: September 2021

To allow better diagnosis and management of psychiatric illnesses, the use of easily accessible biomarkers are proposed. Therefore, recognition of some diseases by a set of related pathogenesis biomarkers is a promising approach. The study aims to assess the usefulness of examining oxidative stress (OS) in schizophrenia as a potential biomarker of illness using the commonly used data mining decision tree method. The study group was comprised of 147 participants: 98 patients with schizophrenia (SZ group), and the control group (n = 49; HC). The patients with schizophrenia were divided into two groups: first-episode schizophrenia (n = 49; FS) and chronic schizophrenia (n = 49; CS). The assessment included the following biomarkers in sera of patients: catalase (CAT), glutathione peroxidase (GPx), superoxide dismutase-1 (SOD-1), glutathione reductase (GR), reduced glutathione (GSH), total antioxidant capacity (TAC), ferric reducing ability of plasma (FRAP), advanced glycation end products (AGEs), advanced oxidation protein products (AOPP), dityrosine (DITYR), kynurenine (KYN), N-formylkynurenine (NFK), tryptophan (TRY), total oxidant status (TOS), nitric oxide (NO) and total protein. Maximum accuracy (89.36%) for distinguishing SZ from HC was attained with TOS and GPx (cut-off points: 392.70 and 15.33). For differentiating between FS and CS, the most promising were KYN, AOPP, TAC and NO (100%; cut-off points: 721.20, 0.55, 64.76 and 2.59). To distinguish FS from HC, maximum accuracy was found for GSH and TOS (100%; cut-off points: 859.96 and 0.31), and in order to distinguish CS from HC, the most promising were GSH and TOS (100%; cut-off points: 0.26 and 343.28). Using redox biomarkers would be the most promising approach for discriminating patients with schizophrenia from healthy individuals and, in the future, could be used as an add-on marker to diagnose and/or respond to treatment.
Characterization of Circulating IL-7R Positive Cell Populations for Early Detection of Pancreatic Ductal Adenocarcinoma
Authors: Heo Sun-Hee , Jang Sung Ill , Kim So Young , Choi Bongkun , Lee Dong Ki , Lee Hyung Keun , Chang Eun-Ju
Published: September 2021

(1) Background: Pancreatic cancer is a high devastating disease with the lowest survival rate among all common cancers due to difficulties in early diagnosis. The purpose of this study was to identify and characterize the distinct subset of blood cell population elevated in peripheral blood mononuclear cells (PBMC) of pancreatic cancer to evaluate the potential markers for diagnosis of pancreatic cancer; (2) Methods: We analyzed differential gene expression in PBMC from normal individuals and pancreatic cancer patients utilizing transcriptome analysis. Flow cytometry analysis was applied to identify the discrete subset of interleukin-7 receptor (IL-7R) expressing cells in these cells. The expression of IL-7R during tumorigenesis was determined in syngeneic mouse model of pancreatic cancer in vivo; (3) Results: PBMC from pancreatic cancer patients expressed elevated IL-7R mRNA compared to healthy control individuals. IL-7R expressing cells rapidly appeared from the early stages of the onset of tumor formation in syngeneic pancreatic cancer mouse model in vivo. The discrete subset of IL-7R positive cells mainly consist of naive T, central memory T, and effector memory T cells; (4) Conclusions: Taken together, our present findings suggest that pancreatic cancer patients expressed higher level of IL-7R expression in PBMC that rapidly emerged from the onset of early pancreatic tumor formation in vivo than normal individuals. Thus, it can be used as a novel biological marker for early events of pancreatic cancer development.
Spectrum of Disease Manifestations in Patients with Selective Immunoglobulin E Deficiency
Authors: Picado César , Ortiz de Landazuri Iñaki , Vlagea Alexandru , Bobolea Irina , Arismendi Ebymar , Amaro Rosanel , Sellarés Jacobo , Bartra Joan , Sanmarti Raimon , Hernandez-Rodriguez José , Mascaró José-Manuel , Colmenero Jordi , Vaquero Eva , Pascal Mariona
Published: September 2021

Background: Selective IgE deficiency (SIgED) has been previously evaluated in selected patients from allergy units. This study investigates the effects of SIgED on the entire population in a hospital setting and sought to delineate in detail the clinical aspects of SIgED. Methods: A retrospective study of the data obtained from electronic medical records of 52 adult patients (56% female) with a mean age of 43 years and IgE levels of <2.0 kU/L with normal immunoglobulin (Ig) IgG, IgA, and IgM levels, seen at our hospital, without selection bias, from 2010 to 2019. Results: Recurrent upper respiratory infections were recorded in 18 (34.6%) patients, pneumonia was recorded in 16 (30.7%) patients, bronchiectasis was recorded in 16 (30.7%) patients, and asthma was recorded in 10 (19.2%) patients. Eighteen patients (34.6%) suffered autoimmune clinical manifestations either isolated (19%) or combining two or more diseases (15%), Hashimoto’s thyroiditis being the most frequent (19%), which was followed by arthritis (10%) and thrombocytopenia and/or neutropenia (5.7%). Other less frequent associations were Graves’ disease, primary sclerosing cholangitis, Sjögren’s syndrome, and autoimmune hepatitis. Eczematous dermatitis (15.3%), chronic spontaneous urticaria (17.3%), and symptoms of enteropathy (21%) were also highly prevalent. Thirty percent of patients developed malignancies, with non-Hodgkin lymphomas (13.4%) being the most prevalent. Conclusions: The clinical manifestations of SIgED encompass a variety of infectious, non-infectious complications, and malignancy. Since it cannot be ruled out that some type of selection bias occurred in the routine assessment of IgE serum Ievels, prospective studies are required to better characterize SIgED and to determine whether it should be added to the list of antibody deficiencies.
Identifying Patient-Reported Outcome Measures (PROMs) for Routine Surveillance of Physical and Emotional Symptoms in Head and Neck Cancer Populations: A Systematic Review
Authors: de Oliveira Faria Sheilla , Hurwitz Gillian , Kim Jaemin , Liberty Jacqueline , Orchard Kimberly , Liu Geoffrey , Barbera Lisa , Howell Doris
Published: September 2021

The aims of this review were to identify symptoms experienced by head and neck cancer (HNC) patients and their prevalence, as well as to compare symptom coverage identified in HNC specific patient-reported outcome measures (PROMs). Searches of Ovid Medline, Embase, PsychInfo, and CINAHL were conducted to identify studies. The search revealed 4569 unique articles and identified 115 eligible studies. The prevalence of reported symptoms was highly variable among included studies. Variability in sample size, timing of the assessments, and the use of different measures was noted across studies. Content mapping of commonly used PROMs showed variability and poor capture of prevalent symptoms, even though validation studies confirmed satisfactory reliability and validity. This suggests limitations of some of the tools in providing an accurate and comprehensive picture of the patient’s symptoms and problems.
Association between Polymorphisms in the IL-1β, TNFRSF11B, CASP1, and IL-6 Genes and Orthodontic-Induced External Apical Root Resorption
Authors: Ciurla Agata , Marruganti Crystal , Doldo Tiziana , Szymańska Jolanta
Published: September 2021

Orthodontic-induced external apical root resorption (EARR) is a severe condition affecting the roots of the teeth, whose genetic causes have been inconclusive to date. The aim of the present study was to assess the influence of selected single nucleotide polymorphisms (SNPs) IL-1β, TNFRSF11B, CASP1, and IL-6 genes on post-orthodontic EARR. A sample of 101 patients with clearly assessable orthopantomograms and lateral cephalometric radiographs taken before and at the end of the orthodontic treatment was used to evaluate the presence of EARR. The association between genetic polymorphisms and EARR was assessed with the Chi2 test. A binary logistic multi-level model was built to evaluate the ability of patient- and tooth-level variables to predict EARR occurrence. The overall prevalence of EARR resulted to be around 40%. Within the limitations of this study, a significant association was found between EARR presence and the SNP for the IL-1β gene but not for the TNFRSF11B, CASP1, and the IL-6 genes. The final multi-level model demonstrated that the SNP for the IL-1β gene increases the odds of developing EARR by around four times. Since there is currently no accurate method to determine which patients will develop EARR prior to orthodontic treatment, further studies are needed to investigate the predictive ability of further genetic variants on EARR development.
Parental Distress and Perception of Children’s Executive Functioning after the First COVID-19 Lockdown in Italy
Authors: Polizzi Concetta , Burgio Sofia , Lavanco Gioacchino , Alesi Marianna
Published: September 2021

The spread of the novel coronavirus (COVID-19), and the consequential first italian lockdown to minimize viral transmission, have resulted in many significant changes in the every-day lives of families, with an increased risk of parental burnout. This study explores the impact of the first COVID-19 lockdown in Italy on parental distress and parental perceptions of children’s executive functions (EFs). Participants were 308 Italian parents with children between 4 and 17 years of age; they were recruited through online advertisements on websites and social media, and they were given an online survey. The measures were: the balance between risks and resources (BR2) and the executive functioning self-report (EF). Findings of the study suggest that the most distressed parents perceived their children as less competent in EF, highlighting a cognitive fragility on attention, memory, and self-regulation (Pearson correlation coefficient, p < 0.05); significant differences were found between parents of children exhibiting typical and atypical patterns of development (ANOVA, p < 0.05). The study reinforces the need to provide families with psychological aid to support parental competence in restrictive lockdown conditions.
Adverse Events during Vitrectomy under Adequacy of Anesthesia—An Additional Report
Authors: Pluta Aleksandra , Stasiowski Michał Jan , Lyssek-Boroń Anita , Król Seweryn , Krawczyk Lech , Niewiadomska Ewa , Żak Jakub , Kawka Magdalena , Dobrowolski Dariusz , Grabarek Beniamin Oskar , Szumera Izabela , Missir Anna , Rejdak Robert , Jałowiecki Przemysław
Published: September 2021

The intraprocedural immobilization of selected subsets of patients undergoing pars plana vitrectomy (PPV) requires the performance of general anesthesia (GA), which entails the intraoperative use of hypnotics and titration of opioids. The Adequacy of Anesthesia (AoA) concept of GA guidance optimizes the intraoperative dosage of hypnotics and opioids. Pre-emptive analgesia (PA) is added to GA to minimize intraoperative opioid (IO) usage. The current additional analysis evaluated the advantages of PA using either COX-3 inhibitors or regional techniques when added to AoA-guided GA on the rate of presence of postoperative nausea and vomiting (PONV), oculo-emetic (OER), and oculo-cardiac reflex (OCR) in patients undergoing PPV. A total of 176 patients undergoing PPV were randomly allocated into 5 groups: (1) Group GA, including patients who received general anesthesia alone; (2) Group T, including patients who received preventive topical analgesia by triple instillation of 2% proparacaine 15 min before induction of GA; (3) Group PBB, including patients who received PBB; (4) Group M, including patients who received PA using a single dose of 1 g of metamizole; (5) Group P, including patients who received PA using a single dose of 1 g of acetaminophen. The incidence rates of PONV, OCR, and OER were studied as a secondary outcome. Despite the group allocation, intraoperative AoA-guided GA resulted in an overall incidence of PONV in 9%, OCR in 12%, and OER in none of the patients. No statistically significant differences were found between groups regarding the incidence of OCR. PA using COX-3 inhibitors, as compared to that of the T group, resulted in less overall PONV (p < 0.05). Conclusions: PA using regional techniques in patients undergoing PPV proved to have no advantage when AoA-guided GA was utilised. We recommend using intraoperative AoA-guided GA to reduce the presence of OCR, and the addition of PA using COX-3 inhibitors to reduce the rate of PONV.
IL-15 Is Overexpressed in γδ T Cells and Correlates with Disease Severity in Relapsing-Remitting Multiple Sclerosis
Authors: Zarobkiewicz Michał K. , Kowalska Wioleta , Morawska Izabela , Halczuk Paweł , Rejdak Konrad , Bojarska-Junak Agnieszka
Published: September 2021

Interleukin 15 (IL-15) is known to be involved in the pathogenesis of multiple sclerosis (MS). An animal study revealed a distinct subset of IL-15-producing γδ T cells that correlate with disease severity. The aim of the current study was to test whether such a subset is also present in humans and its importance for the pathogenesis of MS. The peripheral blood from 29 patients with relapsing-remitting MS (including 6 relapses) and 22 controls was stained with monoclonal antibodies and analyzed with flow cytometry. The existence of IL-15+ γδ T cells was confirmed. Moreover, the percentage of IL-15+ γδ T is significantly increased in MS patients and correlates with disease severity. Nevertheless, additional functional studies are needed to fully understand the importance of those cells in multiple sclerosis pathogenesis
Laboratory Quantification of the Relative Contribution of Staghorn Coral Skeletons to the Total Wave-Energy Dissipation Provided by an Artificial Coral Reef
Authors: Ghiasian Mohammad , Carrick Jane , Bisson Claire , Haus Brian K. , Baker Andrew C. , Lirman Diego , Rhode-Barbarigos Landolf
Published: September 2021

Coral reefs function as submerged breakwaters providing wave mitigation and flood-reduction benefits for coastal communities. Although the wave-reducing capacity of reefs has been associated with wave breaking and friction, studies quantifying the relative contribution by corals are lacking. To fill this gap, a series of experiments was conducted on a trapezoidal artificial reef model with and without fragments of staghorn coral skeletons attached. The experiments were performed at the University of Miami’s Surge-Structure-Atmosphere-Interaction (SUSTAIN) Facility, a large-scale wind/wave tank, where the influence of coral skeletons on wave reduction under different wave and depth conditions was quantified through water level and wave measurements before and after the reef model. Coral skeletons reduce wave transmission and increase wave-energy dissipation, with the amount depending on the hydrodynamic conditions and relative geometrical characteristics of the reef. The trapezoidal artificial coral reef model was found to reduce up to 98% of the wave energy with the coral contribution estimated to be up to 56% of the total wave-energy dissipation. Depending on the conditions, coral skeletons can thus enhance significantly, through friction, the wave-reducing capability of a reef.
Después de usted: Variation and Change in a Spanish Tripartite Politeness System
Authors: Moyna María Irene
Published: September 2021

This study focuses on the address paradigm in the Spanish spoken in Montevideo, the capital of Uruguay, a Latin American variety which presents speakers with three options—one polite (usted), and two familiar (pan-Hispanic tú and regional vos). Recent quantitative studies have shown that the range of polite usted is shrinking in the dialect, as younger respondents reserve it for hierarchical contexts or for much older addressees. Indeed, speakers are uncertain about appropriate address choice to convey deference without distance. The present analysis supplements the previous quantitative data with responses of Montevideo speakers to an attitudinal interview (n = 12) analyzed qualitatively for themes with Atlas.ti. It finds that while speakers reject usted, they have adopted a range of strategies to maintain distinctions in politeness, including address avoidance, mirroring, and the repurposing of tú as an intermediate polite form.
When Is a Reaction Network a Metabolism? Criteria for Simple Metabolisms That Support Growth and Division of Protocells
Authors: Higgs Paul G.
Published: September 2021

With the aim of better understanding the nature of metabolism in the first cells and the relationship between the origin of life and the origin of metabolism, we propose three criteria that a chemical reaction system must satisfy in order to constitute a metabolism that would be capable of sustaining growth and division of a protocell. (1) Biomolecules produced by the reaction system must be maintained at high concentration inside the cell while they remain at low or zero concentration outside. (2) The total solute concentration inside the cell must be higher than outside, so there is a positive osmotic pressure that drives cell growth. (3) The metabolic rate (i.e., the rate of mass throughput) must be higher inside the cell than outside. We give examples of small-molecule reaction systems that satisfy these criteria, and others which do not, firstly considering fixed-volume compartments, and secondly, lipid vesicles that can grow and divide. If the criteria are satisfied, and if a supply of lipid is available outside the cell, then continued growth of membrane surface area occurs alongside the increase in volume of the cell. If the metabolism synthesizes more lipid inside the cell, then the membrane surface area can increase proportionately faster than the cell volume, in which case cell division is possible. The three criteria can be satisfied if the reaction system is bistable, because different concentrations can exist inside and out while the rate constants of all the reactions are the same. If the reaction system is monostable, the criteria can only be satisfied if there is a reason why the rate constants are different inside and out (for example, the decay rates of biomolecules are faster outside, or the formation rates of biomolecules are slower outside). If this difference between inside and outside does not exist, a monostable reaction system cannot sustain cell growth and division. We show that a reaction system for template-directed RNA polymerization can satisfy the requirements for a metabolism, even if the small-molecule reactions that make the single nucleotides do not.
Can Fetuin A Be Utilized in the Evaluation of Elderly Patients with Acute Myocardial Infarction?
Authors: Tomoaia Raluca , Beyer Ruxandra Ștefana , Zdrenghea Dumitru , Dădârlat-Pop Alexandra , Popescu Mircea Ioachim , Cismaru Gabriel , Gușetu Gabriel , Bodisz Gyorgy , Chețan Maria Ioana , Pop Dana
Published: September 2021

Background: Lower baseline Fetuin-A (FA) is associated with left ventricular remodeling and cardiovascular death (CVD) at 4 months after acute myocardial infarction (AMI). However, the association between FA levels, incomplete ST segment resolution (STR) following primary percutaneous coronary intervention (PCI) and early mortality in AMI has not been previously studied. Methods: We enrolled 100 patients with AMI, which we divided in two groups: 21 patients who suffered sudden cardiac death (SCD) in the first 7 days after PCI and 79 controls. We measured FA, NT-proBNP and troponin levels and correlated them with the occurrence of death in the first week after revascularization. We also tested the cut-off value of FA to determine STR at 90 min after PCI. Results: SCD was most frequently caused by pump failure (n = 10, 47.6%) and ventricular arrhythmias (n = 9, 42.5%). Plasma FA levels correlated with NT-proBNP values (r = −0.47, p = 0.04) and were significantly lower in patients presenting SCD (115 (95–175) vs. 180 (105–250) ng/mL, p = 0.03). Among all three biomarkers, FA was the only one associated with incomplete STR after PCI on the multivariate logistic regression (cut-off value of 175 ng/mL, Se = 74%, Sp = 61.1%). Death rate was highest (n = 16/55, 30%) in patients with FA levels below the cut-off value of 175 ng/mL. Conclusion: Lower FA is associated with higher early mortality and incomplete STR after primary percutaneous revascularization in patients with AMI. Measurement of FA levels in addition to NT-proBNP, troponin and STR might enable more accurate identification of high-risk patients.
Evaluation of Thermal Damage Impact on Microstructure and Properties of Carburized AISI 9310 Gear Steel Grade by Destructive and Non-Destructive Testing Methods
Authors: Dychtoń Kamil , Gradzik Andrzej , Kolek Łukasz , Raga Krzysztof
Published: September 2021

Advanced aircraft gearboxes operate under high mechanical loads. Currently, aircraft gears are manufactured from chromium–nickel–molybdenum steel grades such as AISI 9310 or Pyrowear 53. The major causes of gear failure are wear and fatigue cracking. As the crack initiation occurs predominantly on the component surface, the gears are routinely subjected to surface hardening processes such as low-pressure carburizing and case hardening. The gears are manufactured in a multiple operation process, in which teeth grinding is a crucial step. Selection of improper grinding conditions can lead to local heat concentration and creation of grinding burns, which are small areas where microstructure and properties changes are induced by high temperature generated during grinding. Their presence can lead to significant reduction of gear durability. Therefore destructive and non-destructive (NDT) quality-control methods such as chemical etching or magnetic Barkhausen noise (MBN) measurements are applied to detect the grinding burns. In the area of a grinding burn, effects related to the over-tempering or re-hardening of the carburized case may occur. In this paper, the results of the studies on the characterization of microstructure changes caused by local heating performed to simulate grinding burns are presented. The areas with the over-tempering and re-hardening effects typical for grinding burns were formed by laser surface heating of carburized AISI 9310 steel. Analyses of the microstructure, residual stresses, retained austenite content, and non-destructive testing by the MBN method were performed. The correlation between the MBN value and the properties of the modified surface layer was identified. It was also found that the re-hardened areas had similar characteristics of changes in the Barkhausen noise intensity, despite the significant differences in the width of the overheated zone, which depended on the laser-heating process conditions.
Fatigue Resistance and Cracking Mechanism of Semi-Flexible Pavement Mixture
Authors: Wang Shiqi , Zhou Huanyun , Chen Xianhua , Gong Minghui , Hong Jinxiang , Shi Xincheng
Published: September 2021

Semi-flexible pavement (SFP) is widely used in recent years because of its good rutting resistance, but it is easy to crack under traffic loads. A large number of studies are aimed at improving its crack resistance. However, the understanding of its fatigue resistance and fatigue-cracking mechanism is limited. Therefore, the semi-circular bending (SCB) fatigue test is used to evaluate the fatigue resistance of the SFP mixture. SCB fatigue tests under different temperature values and stress ratio were used to characterize the fatigue life of the SFP mixture, and its laboratory fatigue prediction model was established. The distribution of various phases of the SFP mixture in the fracture surface was analyzed by digital image processing technology, and its fatigue cracking mechanism was analyzed. The results show that the SFP mixture has better fatigue resistance under low temperature and low stress ratio, while its fatigue resistance under other environmental and load conditions is worse than that of asphalt mixture. The main reason for the poor fatigue resistance of the SFP mixture is the poor deformation capacity and low strength of grouting materials. Furthermore, the performance difference between grouting material and the asphalt binder is large, which leads to the difference of fatigue cracking mechanism of the SFP mixture under different conditions. Under the fatigue load, the weak position of the SFP mixture at a low temperature is asphalt binder and its interface with other materials, while at medium and high temperatures, the weak position of the SFP mixture is inside the grouting material. The research provides a basis for the calculation of the service life of the SFP structure, provides a reference for the improvement direction of the SFP mixture composition and internal structure.
Systematic Performance Comparison of Fe3+/Fe0/Peroxymonosulfate and Fe3+/Fe0/Peroxydisulfate Systems for Organics Removal
Authors: Oh Wen-Da , Ho Yeek-Chia , Mohamad Mardawani , Ho Chii-Dong , Ravi Rajiv , Lim Jun-Wei
Published: September 2021

Activated zero-valent iron (Ac-ZVI) coupled with Fe3+ was employed to activate peroxymonosulfate (PMS) and peroxydisulfate (PDS) for acid orange 7 (AO7) removal. Fe3+ was used to promote Fe2+ liberation from Ac-ZVI as an active species for reactive oxygen species (ROS) generation. The factors affecting AO7 degradation, namely, the Ac-ZVI:Fe3+ ratio, PMS/PDS dosage, and pH, were compared. In both PMS and PDS systems, the AO7 degradation rate increased gradually with increasing Fe3+ concentration at fixed Ac-ZVI loading due to the Fe3+-promoted liberation of Fe2+ from Ac-ZVI. The AO7 degradation rate increased with increasing PMS/PDS dosage due to the greater amount of ROS generated. The degradation rate in the PDS system decreased while the degradation rate in the PMS system increased with increasing pH due to the difference in the PDS and PMS activation mechanisms. On the basis of the radical scavenging study, sulfate radical was identified as the dominant ROS in both systems. The physicochemical properties of pristine and used Ac-ZVI were characterized, indicating that the used Ac-ZVI had an increased BET specific surface area due to the formation of Fe2O3 nanoparticles during PMS/PDS activation. Nevertheless, both systems displayed good reusability and stability for at least three cycles, indicating that the systems are promising for pollutant removal.
The Effect of Plug Rotation Speed on Micro-Structure of Nugget Zone of Friction Plug Repair Welding Joint for 6082 Aluminum Alloy
Authors: Li Defu , Wang Xijing
Published: September 2021

This paper carried out the friction plug repair welding of 6082 aluminum alloy keyhole defects by using the method of friction heating between shaft shoulder and base material. In addition, a well-formed friction plug welding joint was obtained at different plug rotation speeds. In order to study the influence mechanism of plug rotation speeds on the microstructure of the weld nugget zone, EBSD technology was used to analyze the grain morphology, grain size and grain boundary characteristics of the weld nugget zone under different rotation speeds of the plug rod. The results show that in the nugget zone, the grain was fine and equated crystals refinement, and there was a preferred orientation. The deformation texture components in the welded nugget zone increased with the plug rotation speed from 1600 to 2000 rpm. However, the grain size first decreased and then increased, while the components in the High-Angle Boundary first increased and then decreased.