bluuebunny/crossref_metadata_2025 huggingface dataset:
Spatiotemporal variations and trends of air quality in major cities in Guizhou
Authors: Lu Fu , Yuan Yang , Hong Fu , Hao Liu
Published: September 2023

Tracking the evolution of air pollutants has a critical impact on our ability to further improve air quality, which have been extensively studied in the North China Plain (NCP), the Yangtze River Delta (YRD) and the Pearl River Delta (PRD) regions, but remain poorly characterized in Guizhou located in the east of Yunnan-Guizhou Plateau. Here, we analyzed spatiotemporal variations and trends of six criteria air pollutants, i.e., inhalable particles (PM10), fine particle (PM2.5), sulfur dioxide (SO2), carbon monoxide (CO), nitrogen dioxide (NO2) and ozone (O3), from 2016 to 2020 in the focus major cities in Guizhou, taking advantage of the extensive network data available since 2016. The annual mean concentrations of the six criteria air pollutants were substantially lower than China’s national ambient air quality standard (NAAQS-II), confirmed a significant improvement of air quality in Guizhou. The annual mean concentrations of PM10, PM2.5, SO2, CO and NO2 all decreased year by year during 2016–2020 in the focus major cities, and the highest decrease occurred in fall or winter. By contrast, O3 increased with a rate ranged from 0.85 μg·m−3 yr−1 (95% CI: 0∼1.78) to 3.71 μg·m−3 yr−1 (95% CI: 2.54∼5.13), and the highest increase occurred in spring or summer, revealing a strong impetus for reducing O3 pollution. Correlations among the six criteria air pollutants unveiled that the correlation coefficients between PM2.5 and NO2 were higher than those of between PM2.5 and SO2 in most focus major cities, mirroring a priority to control NOx to further reduce PM2.5 pollution in Guizhou. The focus of curbing O3 pollution in Guizhou should be redesigned to mitigate multiple precursors from multiple sectors, and efficient control strategies to mitigate warm seasons O3 pollution should also be implemented in cold seasons. Our results will benefit for our knowledge about current air pollution situation and police makers for future air pollution control in Guizhou.
Hands-off, artificial construction, or penalty? How to deal with the increasingly polluted coastal wetland ecosystem in China
Authors: Bai Yuntao , Ma Shuai , Li Delong
Published: September 2023

As the destruction of coastal wetlands in China becomes more and more serious, the government needs to strengthen the management of the wetland ecosystem. Considering that pollution is an important factor in the destruction of coastal wetlands in China, the government can deal with the problem of wetland pollution through three modes: hands-off, artificial construction, and penalty. In this article, the differential game model is constructed under these three modes. The balanced social benefits of the government and polluting enterprises under the three modes are obtained, and the applicable conditions of various wetland treatment paths are compared. The results show that when the revenue generated by taxation and the indirect income generated by artificial construction are small, the government will choose the laissez-faire mode. However, with the gradual increase of indirect income generated by artificial construction, the government will be inclined to choose the artificial construction mode. When the income from government fines is small, the social benefits of polluters in the hands-off mode are greater than those in the penalty mode. With the increase of fines, the social benefits of polluting enterprises will first decrease and then increase, which will eventually be greater than the social benefits under the hands-off mode.
Skeletal muscle fibers produce B-cell stimulatory factors in chronic myositis
Authors: Carstens Per-Ole , Müllar Luisa M. , Wrede Arne , Zechel Sabrina , Wachowski Martin M. , Brandis Almuth , Krause Sabine , Zierz Stephan , Schmidt Jens
Published: September 2023

Introduction

We aimed to identify B-cell-mediated immunomechanisms in inclusion body myositis (IBM) and polymyositis (PM) as part of the complex pathophysiology.

Materials and methods

Human primary myotube cultures were derived from orthopedic surgery. Diagnostic biopsy specimens from patients with IBM (n=9) and PM (n=9) were analyzed for markers of B cell activation (BAFF and APRIL) and for chemokines that control the recruitment of B cells (CXCL-12 and CXCL-13). Results were compared to biopsy specimens without myopathic changes (n=9) and hereditary muscular dystrophy (n=9).

Results

The mRNA expression of BAFF, APRIL, and CXCL-13 was significantly higher in IBM and PM compared to controls. Patients with IBM displayed the highest number of double positive muscle fibers for BAFF and CXCL-12 (48%) compared to PM (25%), muscular dystrophy (3%), and non-myopathic controls (0%). In vitro, exposure of human myotubes to pro-inflammatory cytokines led to a significant upregulation of BAFF and CXCL-12, but APRIL and CXCL-13 remained unchanged.

Conclusion

The results substantiate the hypothesis of an involvement of B cell-associated mechanisms in the pathophysiology of IBM and PM. Muscle fibers themselves seem to contribute to the recruitment of B cells and sustain inflammation.
Allogeneic cord blood regulatory T cells decrease dsDNA antibody and improve albuminuria in systemic lupus erythematosus
Authors: Lyu Mi-Ae , Tang Ximing , Khoury Joseph D. , Raso Maria Gabriela , Huang Meixian , Zeng Ke , Nishimoto Mitsutaka , Ma Hongbing , Sadeghi Tara , Flowers Christopher R. , Parmar Simrit
Published: September 2023

Background

Lupus nephritis (LN) constitutes the most severe organ manifestations of systemic lupus erythematosus (SLE), where pathogenic T cells have been identified to play an essential role in ‘helping’ B cells to make autoantibodies and produce inflammatory cytokines that drive kidney injury in SLE. Regulatory T cells (Tregs), responsible for decreasing inflammation, are defective and decreased in SLE and have been associated with disease progression. We hypothesize that treatment with allogeneic, healthy Tregs derived from umbilical cord blood (UCB) may arrest such an inflammatory process and protect against kidney damage.

Methods

UCB-Tregs function was examined by their ability to suppress CellTrace Violet-labeled SLE peripheral blood mononuclear cells (PBMCs) or healthy donor (HD) conventional T cells (Tcons); and by inhibiting secretion of inflammatory cytokines by SLE PBMCs. Humanized SLE model was established where female Rag2-/-γc-/- mice were transplanted with 3 × 106 human SLE-PBMCs by intravenous injection on day 0, followed by single or multiple injection of UCB-Tregs to understand their impact on disease development. Mice PB was assessed weekly by flow cytometry. Phenotypic analysis of isolated cells from mouse PB, lung, spleen, liver and kidney was performed by flow cytometry. Kidney damage was assessed by quantifying urinary albumin and creatinine secretion. Systemic disease was evaluated by anti-dsDNA IgG Ab analysis as well as immunohistochemistry analysis of organs. Systemic inflammation was determined by measuring cytokine levels.

Results

In vitro, UCB-Tregs are able to suppress HD Tcons and pathogenic SLE-PBMCs to a similar extent. UCB-Tregs decrease secretion of several inflammatory cytokines including IFN-γ, IP-10, TNF-α, IL-6, IL-17A, and sCD40L by SLE PBMCs in a time-dependent manner, with a corresponding increase in secretion of suppressor cytokine, IL-10. In vivo, single or multiple doses of UCB-Tregs led to a decrease in CD8+ T effector cells in different organs and a decrease in circulating inflammatory cytokines. Improvement in skin inflammation and loss of hair; and resolution of CD3+, CD8+, CD20+ and Ki67+ SLE-PBMC infiltration was observed in UCB-Treg recipients with a corresponding decrease in plasma anti-double stranded DNA IgG antibody levels and improved albuminuria.

Conclusions

UCB-Tregs can decrease inflammatory burden in SLE, reduce auto-antibody production and resolve end organ damage especially, improve kidney function. Adoptive therapy with UCB-Tregs should be explored for treatment of lupus nephritis in the clinical setting.
Adsorption of total petroleum hydrocarbon in groundwater by KOH-activated biochar loaded double surfactant-modified nZVI
Authors: Ji Caiya , Yin Hongyang , Zhou Meichun , Sun Zhao , Zhao Yuan , Li Liangzhong
Published: September 2023

Introduction: Crude oil and petroleum hydrocarbon contamination is commonly found in the soil and groundwater during the various processes of mining, processing, and utilization due to issues such as inefficient environmental management, random wastewater discharge, and storage tank leakage.To address this issue, we will use corn stalk biochar (SBC) and surfactants to improve the stability and chemical reactivity of nZVI, thereby enhancing its ability to remove pollutants, and explore the adsorption effect and mechanism of composite materials for petroleum hydrocarbons.

Methods: Modified corn stalk biochar (SBC) was synthesized through high-temperature carbonization and KOH activation. Subsequently, the iron/carbon composite PN-nZVI@SBC (PNMSBC) was prepared by loading nano zero-valent iron modified with dual surfactants, and it was adopted to adsorb total petroleum hydrocarbons(TPH) in groundwater. The physical and chemical properties, surface patterns, and elemental mapping of PNMSBC particles were analyzed using SEM, EDS, TEM,XRD, BET, and FTIR spectroscopy. Kinetics and isotherm tests were performed to evaluate the adsorption properties of the composites. TPH adsorption was dependent on ionic strength, initial TPH concentration, as well as pH. The adsorption mechanism combining XPS and EPR spectroscopy was explored.

Results: The characterization results by SEM and TEM showed that the particle size of nZVI particles modified by surfactants became smaller, and the dispersibility was enhanced. The characterization results by XRD and FTIR confirmed the successful preparation of the composites. The BET results showed that MSBC and PNMSBC were mesoporous structures. The characterization results indicated that Polyvinylpyrrolidone (PVP) and Sodium oleate (NaOA) inhibited the oxidation of nZVI while effectively improving its reactivity. The result of the experiments on adsorption showed that the removal of TPH by PNMSBC followed Freundlich isotherm and pseudo-second-order kinetic models, thus suggesting that the main adsorption processes comprise chemisorption and multilayer heterogeneous adsorption. The adsorption capacity of PNMSBC was increased by the abundance of macro and microporous structures. To be specific, a maximum Langmuir adsorption capacity (qm) was achieved as 75.26 g/g. The result of batch experiments indicated that PNMSBC continuously removed considerable TPH under a wide pH range from 2 to 6. The adsorption mechanism of PNMSBC includes surface adsorption, oxidation, complexation, and electrostatic interaction.

Discussion: In brief, PNMSBC has a promising application for the adsorption of TPH in groundwater remediation.
Effect of individualized positive end-expiratory pressure based on electrical impedance tomography guidance on pulmonary ventilation distribution in patients who receive abdominal thermal perfusion chemotherapy
Authors: Xiao Li , Yu Kang , Yang Jiao-Jiao , Liu Wen-Tao , Liu Lei , Miao Hui-Hui , Li Tian-Zuo
Published: September 2023

Background

Electrical impedance tomography (EIT) has been shown to be useful in guiding individual positive end-expiratory pressure titration for patients with mechanical ventilation. However, the appropriate positive end-expiratory pressure (PEEP) level and whether the individualized PEEP needs to be adjusted during long-term surgery (>6 h) were unknown. Meanwhile, the effect of individualized PEEP on the distribution of pulmonary ventilation in patients who receive abdominal thermoperfusion chemotherapy is unknown. The primary aim of this study was to observe the effect of EIT-guided PEEP on the distribution of pulmonary ventilation in patients undergoing cytoreductive surgery (CRS) combined with hot intraperitoneal chemotherapy (HIPEC). The secondary aim was to analyze their effect on postoperative pulmonary complications.

Methods

A total of 48 patients were recruited and randomly divided into two groups, with 24 patients in each group. For the control group (group A), PEEP was set at 5 cm H2O, while in the EIT group (group B), individual PEEP was titrated and adjusted every 2 h with EIT guidance. Ventilation distribution, respiratory/circulation parameters, and PPC incidence were compared between the two groups.

Results

The average individualized PEEP was 10.3 ± 1.5 cm H2O, 10.2 ± 1.6 cm H2O, 10.1 ± 1.8 cm H2O, and 9.7 ± 2.1 cm H2O at 5 min, 2 h, 4 h, and 6 h after tracheal intubation during CRS + HIPEC. Individualized PEEP was correlated with ventilation distribution in the regions of interest (ROI) 1 and ROI 3 at 4 h mechanical ventilation and ROI 1 at 6 h mechanical ventilation. The ventilation distribution under individualized PEEP was back-shifted for 6 h but moved to the control group’s ventral side under PEEP 5 cm H2O. The respiratory and circulatory function indicators were both acceptable either under individualized PEEP or PEEP 5 cm H2O. The incidence of total PPCs was significantly lower under individualized PEEP (66.7%) than PEEP 5 cm H2O (37.5%) for patients with CRS + HIPEC.

Conclusion

The appropriate individualized PEEP was stable at approximately 10 cm H2O during 6 h for patients with CRS + HIPEC, along with better ventilation distribution and a lower total PPC incidence than the fixed PEEP of 5 cm H2O.

Clinical trial registration: identifier ChiCTR1900023897.
Early drainage reduces the length of hospital stay in patients with lung abscess
Authors: Chiang Po-Chang , Lin Chia-Ying , Hsu Ya-Chun , Huang Li-Ting , Chung Ta-Jung , Liu Yi-Sheng , Chang Chao-Chun
Published: September 2023

Background

Although percutaneous transthoracic catheter drainage (PCD) has been proven effective in lung abscesses, the optimal timing of PCD is still unclear. The study aimed to evaluate the safety and efficacy of early versus delayed drainage in patients with lung abscesses.

Methods

This retrospective study included 103 consecutive patients with liquefied lung abscesses more than 3 cm confirmed by a CT scan received CT-guided PCD over 16 years, from July 2005 to September 2021, in a single institution were reviewed. Early drainage was defined as PCD within one week after a lung abscess was diagnosed. The primary outcome was 90-day mortality. The secondary outcomes included perioperative complications and patients’ length of hospital stay (LoS). Factors associated with 90-day mortality and LoS were also analyzed. The key statistical methods were Chi-square test, Fisher’s exact test, Student t-test, and Pearson correlation.

Results

Amount the 103 patients, there were 64 patients who received early PCD, and 39 patients received delayed PCD. Between the two groups, there were no significant differences in clinical characteristics, 90-day mortality, or perioperative complications. The LoS was significantly shortened in early PCD group (28.6 ± 25.5 vs. 39.3 ± 26.8 (days), p = 0.045). Higher Charlson comorbidity index, secondary lung abscess, and liver cirrhosis were associated with higher mortality (all p < 0.05). Positive sputum culture significantly increased the LoS (coefficient 19.35 (10.19, 28.50), p < 0.001).

Conclusion

The 90-day mortality and complications were similar for early PCD and delayed PCD patients, but LoS was significantly shortened in early PCD patient.
An extended catalog of integrated prophages in the infant and adult fecal microbiome shows high prevalence of lysogeny
Authors: Dikareva Evgenia , Matharu Dollwin , Lahtinen Emilia , Kolho Kaija-Leena , De Vos Willem M. , Salonen Anne , Ponsero Alise J.
Published: September 2023

Background and aims

The acquisition and gradual maturation of gut microbial communities during early childhood is central to an individual’s healthy development. Bacteriophages have the potential to shape the gut bacterial communities. However, the complex ecological interactions between phages and their bacterial host are still poorly characterized. In this study, we investigated the abundance and diversity of integrated prophages in infant and adult gut bacteria by detecting integrated prophages in metagenome assembled genomes (MAGs) of commensal bacteria.

Methods

Our study included 88 infants sampled at 3 weeks, 3 months, 6 months, and 12 months (n = 323 total samples), and their parents around delivery time (n = 138 total samples). Fecal DNA was extracted and characterized by using shotgun metagenomic sequencing, and a collection of prokaryotic MAGs was generated. The MAG collection was screened for the presence of integrated bacteriophage sequences, allowing their taxonomic and functional characterization.

Results

A large collection of 6,186 MAGs from infant and adult gut microbiota was obtained and screened for integrated prophages, allowing the identification of 7,165 prophage sequences longer than 10 kb. Strikingly, more than 70% of the near-complete MAGs were identified as lysogens. The prevalence of prophages in MAGs varied across bacterial families, with a lower prevalence observed among Coriobacteriaceae, Eggerthellaceae, Veillonellaceae and Burkholderiaceae, while a very high prevalence of lysogen MAGs were observed in Oscillospiraceae, Enterococcaceae, and Enterobacteriaceae. Interestingly for several bacterial families such as Bifidobacteriaceae and Bacteroidaceae, the prevalence of prophages in MAGs was higher in early infant time point (3 weeks and 3 months) than in later sampling points (6 and 12 months) and in adults. The prophage sequences were clustered into 5,616 species-like vOTUs, 77% of which were novel. Finally, we explored the functional repertoire of the potential auxiliary metabolic genes carried by these prophages, encoding functions involved in carbohydrate metabolism and degradation, amino acid metabolism and carbon metabolism.

Conclusion

Our study provides an enhanced understanding of the diversity and prevalence of lysogens in infant and adult gut microbiota and suggests a complex interplay between prophages and their bacterial hosts.
Fear learning and aversive stimuli differentially change excitatory synaptic transmission in perisomatic inhibitory cells of the basal amygdala
Authors: Veres Judit M. , Fekete Zsuzsanna , Müller Kinga , Andrasi Tibor , Rovira-Esteban Laura , Barabas Bence , Papp Orsolya I. , Hajos Norbert
Published: September 2023

Inhibitory circuits in the basal amygdala (BA) have been shown to play a crucial role in associative fear learning. How the excitatory synaptic inputs received by BA GABAergic interneurons are influenced by memory formation, a network parameter that may contribute to learning processes, is still largely unknown. Here, we investigated the features of excitatory synaptic transmission received by the three types of perisomatic inhibitory interneurons upon cue-dependent fear conditioning and aversive stimulus and tone presentations without association. Acute slices were prepared from transgenic mice: one group received tone presentation only (conditioned stimulus, CS group), the second group was challenged by mild electrical shocks unpaired with the CS (unsigned unconditioned stimulus, unsigned US group) and the third group was presented with the CS paired with the US (signed US group). We found that excitatory synaptic inputs (miniature excitatory postsynaptic currents, mEPSCs) recorded in distinct interneuron types in the BA showed plastic changes with different patterns. Parvalbumin (PV) basket cells in the unsigned US and signed US group received mEPSCs with reduced amplitude and rate in comparison to the only CS group. Coupling the US and CS in the signed US group caused a slight increase in the amplitude of the events in comparison to the unsigned US group, where the association of CS and US does not take place. Excitatory synaptic inputs onto cholecystokinin (CCK) basket cells showed a markedly different change from PV basket cells in these behavioral paradigms: only the decay time was significantly faster in the unsigned US group compared to the only CS group, whereas the amplitude of mEPSCs increased in the signed US group compared to the only CS group. Excitatory synaptic inputs received by PV axo-axonic cells showed the least difference in the three behavioral paradigm: the only significant change was that the rate of mEPSCs increased in the signed US group when compared to the only CS group. These results collectively show that associative learning and aversive stimuli unpaired with CS cause different changes in excitatory synaptic transmission in BA perisomatic interneuron types, supporting the hypothesis that they play distinct roles in the BA network operations upon pain information processing and fear memory formation.
Enhancing LGMD-based model for collision prediction via binocular structure
Authors: Zheng Yi , Wang Yusi , Wu Guangrong , Li Haiyang , Peng Jigen
Published: September 2023

Introduction

Lobular giant motion detector (LGMD) neurons, renowned for their distinctive response to looming stimuli, inspire the development of visual neural network models for collision prediction. However, the existing LGMD-based models could not yet incorporate the invaluable feature of depth distance and still suffer from the following two primary drawbacks. Firstly, they struggle to effectively distinguish the three fundamental motion patterns of approaching, receding, and translating, in contrast to the natural abilities of LGMD neurons. Secondly, due to their reliance on a general determination process employing an activation function and fixed threshold for output, these models exhibit dramatic fluctuations in prediction effectiveness across different scenarios.

Methods

To address these issues, we propose a novel LGMD-based model with a binocular structure (Bi-LGMD). The depth distance of the moving object is extracted by calculating the binocular disparity facilitating a clear differentiation of the motion patterns, after obtaining the moving object's contour through the basic components of the LGMD network. In addition, we introduce a self-adaptive warning depth-distance, enhancing the model's robustness in various motion scenarios.

Results

The effectiveness of the proposed model is verified using computer-simulated and real-world videos.

Discussion

Furthermore, the experimental results demonstrate that the proposed model is robust to contrast and noise.
Diagnostic value of shear wave elastography combined with super microvascular imaging for BI-RADS 3-5 nodules
Authors: Wang Xueqing , He Yi , Wang Liangyu
Published: September 2023

Background

To investigate the diagnostic value of shear wave elastography (SWE) and super microvascular imaging (SMI) integrated with the traditional ultrasound breast imaging reporting and data system (BI-RADS) classification in differentiating between benign and malignant breast nodules.

Methods

For analysis, 88 patients with 110 breast nodules assessed as BI-RADS 3-5 by conventional ultrasound were selected. SWE and SMI evaluations were conducted separately, and all nodules were verified as benign or malignant ones by pathology. Receiver operating characteristic (ROC) curves were plotted after obtaining quantitative parameters of different shear waves of nodules, including maximum (Emax), mean (Emean), minimum (Emin) Young’s modulus, modulus standard deviation (SD), and modulus ratio (Eratio). The best cut-off value, specificity, sensitivity, accuracy, positive predictive value (PPV), and negative predictive value (NPV) for diagnosing malignant nodules employing Emax were obtained, and the diagnostic value of combining Emax and BI-RADS classification was compared. SMI graded nodule based on the Alder blood flow grading standard, whereas the BI-RADS classification was based on microvascular morphology. We assessed the diagnostic value of SMI for breast nodules and investigated the diagnostic efficacy of SWE combined with SMI in differentiating benign and malignant breast nodules with BI-RADS classification 3–5.

Results

The adjusted the BI-RADS classification using SMI and SWE technologies promoted the sensitivity, specificity, and accuracy of discriminating benign and malignant breast nodules (P < 0.05). The combination of traditional ultrasound BI-RADS classification with SWE and SMI technologies offered high sensitivity, specificity, accuracy, PPV, and NPV for identifying benign and malignant breast lesions. Moreover, combining SWE and SMI technologies with the adjusted BI-RADS classificationhad the best diagnostic efficacy for distinguishing benign and malignant breast nodules with BI-RADS 3–5.

Conclusion

The combination of SWE and SMI with the adjusted BI-RADS classification is a promising diagnostic method for differentiating benign and malignant breast nodules.
Bioinformatics analysis and identification of upregulated tumor suppressor genes associated with suppressing colon cancer progression by curcumin treatment
Authors: Wu Dan , Fu Zhenkai , Liu Wenna , Zhao Yujia , Li Wenxuan , Liu Qingqing , Liang Ying
Published: September 2023

Tumor suppressor genes (TSGs) are commonly downregulated in colon cancer and play a negative role in tumorigenesis and cancer progression by affecting genomic integrity, the cell cycle, and cell proliferation. Curcumin (CUR), a Chinese herb-derived phytochemical, exerts antitumor effects on colon cancer. However, it remains unclear whether CUR exerts its antitumor effects by reactivating TSGs in colon cancer. Here, we demonstrated that CUR inhibited HT29 and HCT116 proliferation and migration by cell-counting kit-8, colony-formation, and wound-healing assays. Furthermore, the comprehensive bioinformatics analysis of mRNA sequencing revealed that 3,505 genes were significantly upregulated in response to CUR in HCT116 cells. Kyoto Encyclopedia of Genes and Genomes and Gene Ontology analyses showed that the most upregulated genes were enriched in cancer pathways containing 37 TSGs. Five (ARHGEF12, APAF1, VHL, CEBPA, and CASP8) of the 37 upregulated TSGs were randomly selected for real-time fluorescence polymerase chain reaction and the verification results showed that these five genes were significantly reactivated after CUR treatment, suggesting that TSGs are related to CUR-mediated colon cancer inhibition. ARHGEF12 is a newly identified TSG and a potential therapeutic target for colon cancer. Furthermore, molecular docking was performed to predict the binding sites of CUR and ARHGEF12, suggesting that CUR can prevent colon cancer cell invasion and metastasis by inhibiting ARHGEF12 and RhoA binding. In conclusion, the present study reveals that CUR inhibits colon cancer cell proliferation and migration by reactivating TSGs, revealing a new mechanism and potential target for colon cancer treatment.
Comparison of hepatic arterial infusion chemotherapy with mFOLFOX vs. first-line systemic chemotherapy in patients with unresectable intrahepatic cholangiocarcinoma
Authors: Yang Zhenyun , Fu Yizhen , Wu Weijie , Hu Zili , Pan Yangxun , Wang Juncheng , Chen Jinbin , Hu Dandan , Zhou Zhongguo , Chen Minshan , Zhang Yaojun
Published: September 2023

Background: Systemic chemotherapy (SC) remains the only first-line treatment for unresectable intrahepatic cholangiocarcinoma (iCCA). Hepatic arterial infusion chemotherapy (HAIC) has been recently proven to be effective in managing hepatocellular carcinoma (HCC). Hence, our study aims to investigate the safety and efficacy of HAIC in treating unresectable iCCA patients.

Methods: We reviewed 146 patients with unresectable iCCA who had received HAIC or SC between March 2016 and March 2022 in a retrospective manner. Outcomes of patients and safety were compared between the HAIC and SC groups.

Results: There were 75 and 71 patients in the HAIC and SC groups, respectively. The median OS in the HAIC and SC groups was 18.0 and 17.8 months (p = 0.84), respectively. The median PFS in the HAIC and SC groups was 10.8 and 11.4 months (p = 0.59), respectively. However, the HAIC group had significantly longer intrahepatic progression-free survival (IPFS) than the SC group (p = 0.035). The median IPFS in the HAIC and SC groups was 13.7 and 11.4 months, respectively. According to the OS (p = 0.047) and PFS (p = 0.009), single-tumor patients in the HAIC group appeared to benefit more. In addition, the overall incidence of adverse events (AEs) was lower in the HAIC group than that in the SC group.

Conclusion: Our study revealed that HAIC was a safe and effective therapeutic regimen for unresectable iCCA with better intrahepatic tumor control when compared to SC. Meanwhile, patients with single tumor were more likely to benefit from HAIC than SC.
Maltol has anti-cancer effects via modulating PD-L1 signaling pathway in B16F10 cells
Authors: Han Na-Ra , Park Hi-Joon , Ko Seong-Gyu , Moon Phil-Dong
Published: September 2023

Introduction: Among skin cancers, melanoma has a high mortality rate. Recent advances in immunotherapy, particularly through immune checkpoint modulation, have improved the clinical treatment of melanoma. Maltol has various bioactivities, including anti-oxidant and anti-inflammatory properties, but the anti-melanoma property of maltol remains underexplored. The aim of this work is to explore the anti-melanoma potential of maltol through regulating immune checkpoints.

Methods: The immune checkpoint PD-L1 was analyzed using qPCR, immunoblots, and immunofluorescence. Melanoma sensitivity towards T cells was investigated via cytotoxicity, cell viability, and IL-2 assays employing CTLL-2 cells.

Results: Maltol was found to reduce melanin contents, tyrosinase activity, and expression levels of tyrosinase and tyrosinase-related protein 1. Additionally, maltol suppressed the proliferative capacity of B16F10 and induced cell cycle arrest. Maltol increased apoptotic rates by elevating cleaved caspase-3 and PARP. The co-treatment with maltol and cisplatin revealed a synergistic effect on inhibiting growth and promoting apoptosis. Maltol suppressed IFN-γ-induced PD-L1 and cisplatin-upregulated PD-L1 by attenuating STAT1 phosphorylation, thereby enhancing cisplatin’s cytotoxicity against B16F10. Maltol augmented sensitivity to CTLL-2 cell-regulated melanoma destruction, leading to an increase in IL-2 production.

Discussion: These findings demonstrate that maltol restricts melanoma growth through the downregulation of PD-L1 and elicits T cell-mediated anti-cancer responses, overcoming PD-L1-mediated immunotherapy resistance of cisplatin. Therefore, maltol can be considered as an effective therapeutic agent against melanoma.
Multi-source excited travelling-wave bowtie antenna based on a meander series of YBCO bicrystal Josephson junctions
Authors: Yu Mei , Wang Zhenguo , Wang Bin , Shi Jin , Liang Tu-Lu , Jiang Ruirui , Zheng Kai , Xu Weiwei
Published: September 2023

Series superconducting Josephson junctions (JJs), as terahertz (THz) mixers, have attracted increasing attentions due to their advantages in solving the saturation problem of superconducting mixers, achieving higher mixing harmonics and higher sensitivity in THz band. However, the normal-state resistances of the series JJs are so low that there exists an impedance mismatch between the coupled antenna and the JJs. In this paper, a meander embedding travelling-wave bowtie antenna is proposed for a series of bicrystal JJs. With this antenna, not only the problem of impedance mismatch can be solved, but also more series JJs can be inserted into the antenna. Five and even seven series JJs in the meander match the proposed antenna well. Furthermore, combined current distribution, far-field radiation patterns and parameter study are investigated in the numerical simulation to analyze this antenna.
Modulation of blood redox status by the progression of induced apical periodontitis in rats
Authors: Frazão Deborah Ribeiro , Santos Mendes Paulo Fernando , Baia-da-Silva Daiane Claydes , Mendonça de Moura João Daniel , Neves dos Santos Vinicius Ruan , Matos-Sousa José Mario , de Souza Balbinot Gabriela , Guimarães Douglas Magno , Collares Fabrício Mezzomo , Lima Rafael Rodrigues
Published: September 2023

This study aimed to investigate if apical periodontitis in different periods changes systemic levels of the antioxidant and pro-oxidant parameters in Wistar rats. Twenty-four rats were randomly allocated into healthy animals, apical periodontitis at 14 days (AP14) and apical periodontitis at 28 days (AP28). The first mandibular molars were accessed in the AP groups, and the pulp chamber was exposed to the oral environment, inducing the apical lesion. After 14 and 28 days, the animals were anesthetized, euthanized, and hemimandibles were collected for micro-computed tomography (micro-CT) analysis to measure lesion volume, bone volume (BV), percent of bone to total tissue volume (BV/TV), trabecular thickness (Tb.Th), trabecular number (Tb.N), and trabecular space (Tb.Sp). A histological examination of the remaining bone was also performed. Finally, blood samples were collected for oxidative biochemistry analysis, investigating glutathione (GSH), Trolox equivalent antioxidant capacity (TEAC), and lipid peroxidation (TBARS). The lesion volume was greater at 28 than at 14 days, as shown by micro-CT. AP14 and AP28 had decreased BV and Tb.Th, but only AP28 showed a reduction in BV/TV. Tb.N and Tb. Sp were increased in apical periodontitis at 28 days. In the histopathological analysis, AP14 had focal regions of moderate mononuclear inflammatory infiltrate, and AP28 had an intense inflammatory infiltrate with bacterial colonies. In the biochemical evaluation, GSH, TEAC, and TBARS were increased after 14 days. However, GSH returned to control levels, TEAC was similar to AP14, and TBARS increased significantly after 28 days. Therefore, the oxidative biochemistry response was modulated according to the progression of periapical damage. After 14 days, the organism could still react to the injury. However, at 28 days, the antioxidant response decreased, associated with an increase in TBARS.
A novel fine-tuned deep-learning-based multi-class classifier for severity of paddy leaf diseases
Authors: Lamba Shweta , Kukreja Vinay , Rashid Junaid , Gadekallu Thippa Reddy , Kim Jungeun , Baliyan Anupam , Gupta Deepali , Saini Shilpa
Published: September 2023

Introduction

Paddy leaf diseases have a catastrophic influence on the quality and quantity of paddy grain production. The detection and identification of the intensity of various paddy infections are critical for high-quality crop production.

Methods

In this paper, infections in paddy leaves are considered for the identification of illness severity. The dataset contains both primary and secondary data. The four online repositories used for secondary data resources are Mendeley, GitHub, Kaggle and UCI. The size of the dataset is 4,068 images. The dataset is first pre-processed using ImageDataGenerator. Then, a generative adversarial network (GAN) is used to increase the dataset size exponentially. The disease severity calculation for the infected leaf is performed using a number of segmentation methods. To determine paddy infection, a deep learning-based hybrid approach is proposed that combines the capabilities of a convolutional neural network (CNN) and support vector machine (SVM). The severity levels are determined with the assistance of a domain expert. Four degrees of disease severity (mild, moderate, severe, and profound) are considered.

Results

Three infections are considered in the categorization of paddy leaf diseases: bacterial blight, blast, and leaf smut. The model predicted the paddy disease type and intensity with a 98.43% correctness rate. The loss rate is 41.25%.

Discussion

The findings show that the proposed method is reliable and effective for identifying the four levels of severity of bacterial blight, blast, and leaf smut infections in paddy crops. The proposed model performed better than the existing CNN and SVM classification models.
Initial psychometric properties of the Parental Stress Scale examined using a sample of Russian mothers
Authors: Bochaver Alexandra A. , Akhmedjanova Diana R. , Bayramyan Roksana M. , Fomicheva Elizaveta V.
Published: September 2023

Parental stress is defined as a personal response to stressors associated with being a parent. In recent studies, parental stress has been viewed as a component of normative parenting. The purpose of this study was to collect initial evidence of the construct validity and reliability of the Russian version of the 18-item Parental Stress Scale (PSS) using a sample of mothers of Russian primary school students. The results are the first wave of a longitudinal study. Mothers (n = 900) of fourth-grade students participated in the study and filled out an online survey. The exploratory and confirmatory factor analyses of the PSS on the Russian mothers indicated two factors: parental stress and parental satisfaction, with good estimates of reliability. The PERMA-Profiler questionnaire was used to examine the convergent and divergent validity of the PSS. The results revealed significant correlations between parental stress and satisfaction and different aspects of well-being among the respondents. The initial investigation of this Russian adaptation of the PSS provides evidence of its reliability and validity. Despite the limitations and the need for further research, this version of the PSS can be recommended for use in studies on modern parenting as well as in psychological support, education, and development of programs promoting positive parent–child relationships by targeting parental needs.
Patient satisfaction and outcomes of crisis resolution home treatment for the management of acute psychiatric crises: a study during the COVID-19 pandemic in Madrid
Authors: Moreno-Alonso Irene , Nieves-Carnicer Manuel , Noguero-Alegre Alexandra , Alvarez-Mon Miguel Angel , Rodriguez-Quiroga Alberto , Dorado Juan F. , Mora Fernando , Quintero Javier
Published: September 2023

Background

Crisis Resolution Home Treatment (CRHT) seem to offer comparable results to the traditional hospitalization model, at a lower cost and offering greater flexibility and scope. However, in Madrid, its implementation in Mental Health did not occur until the midst of the COVID-19 pandemic. In this work we analysed the effectiveness of a mental health CRHT unit promoted during the COVID-19 pandemic, as well as the degree of satisfaction of patients and their families.

Methods

90 patients were treated by the CRHT unit in the period between October 2020 and June 2022. All patients met the inclusion criteria: (1) Acute psychopathological decompensation in patients suffering from psychotic disorders, major affective disorder, obsessive compulsive disorder, personality disorder and other severe mental disorders causing functional disability, according to ICD-10 diagnostic criteria; (2) Ages between 18–90 years old; (3) Living in the urban area of Vallecas, Madrid; and (4) Counting with sufficient social and family support. The effectiveness of the intervention was evaluated with the SF-36 health questionnaire, the caregiver burden with the Zarit questionnaire, and patient satisfaction with a survey specifically designed for this work.

Results

55 (61.1%) patients completed the SF-36 at baseline and at the end of hospitalization. Statistically significant improvements were observed in the 8 dimensions of the SF-36 (p < 0.05). However, CRHT did not achieve a statistically significant decrease in caregiver burden. Regarding the satisfaction of the patients with the attention and care received, an average score of 47.72/50 was obtained.

Conclusion

The Crisis Resolution Home Treatment intervention resulted in significant improvement in patients’ quality of life with high satisfaction scores. However, it did not effectively reduce caregiver burden. Future research should focus on randomized controlled trials with long-term follow-up to assess the effectiveness of CRHT compared to traditional hospitalization and utilize specific assessment scales for different mental disorders.
Relationships of walking activity with depressed mood and suicidal ideation among the middle-aged Korean population: a nationwide cross-sectional study
Authors: Ko Yujin , Cho Yong Hyuk , Kim Gi Woon , Hong Chang Hyung , Son Sang Joon , Roh Hyun Woong , Moon Jieun , Han Sangsoo
Published: September 2023

Introduction

The suicide rate of middle-aged adults has increased rapidly, which is a significant public health concern. A depressed mood and suicidal ideation are significant risk factors for suicide, and non-pharmacological interventions such as exercise therapy have been suggested as potential treatments. Walking is a feasible and accessible form of exercise therapy for middle-aged adults.

Methods

We conducted a study based on the Seventh Korea National Health and Nutrition Examination Survey (2016–2018) data of 6,886 general middle-aged adults in South Korea to investigate the relationships of walking exercise with depressed mood and suicidal ideation. Multiple logistic regression analysis was used to adjust for confounding variables. Sampling weights were applied to obtain estimates for the general Korean population.

Results

Participants who walked ≥5 days per week had a significantly lower odds ratio (OR) for depressed mood [OR = 0.625, 95% confidence interval (CI): 0.424–0.921, p = 0.018] and suicidal ideation (OR = 0.252, 95% CI: 0.125–0.507, p < 0.001) compared to those who never walked, regardless of the duration of exercise. The same results were obtained for males after stratifying the data by sex and suicidal ideation was associated with walking in females.

Conclusion

Regular walking exercise was associated with diminished mental health problems in middle-aged adults. Light walks may serve as a useful starting point for patients with serious mental health issues, such as suicidal ideation.
Practical pathway for the management of depression in the workplace: a Canadian perspective
Authors: Chokka Pratap , Bender Ash , Brennan Stefan , Ahmed Ghalib , Corbière Marc , Dozois David J. A. , Habert Jeff , Harrison John , Katzman Martin A. , McIntyre Roger S. , Liu Yang S. , Nieuwenhuijsen Karen , Dewa Carolyn S.
Published: September 2023

Major depressive disorder (MDD) and other mental health issues pose a substantial burden on the workforce. Approximately half a million Canadians will not be at work in any week because of a mental health disorder, and more than twice that number will work at a reduced level of productivity (presenteeism). Although it is important to determine whether work plays a role in a mental health condition, at initial presentation, patients should be diagnosed and treated per appropriate clinical guidelines. However, it is also important for patient care to determine the various causes or triggers including work-related factors. Clearly identifying the stressors associated with the mental health disorder can help clinicians to assess functional limitations, develop an appropriate care plan, and interact more effectively with worker’s compensation and disability programs, as well as employers. There is currently no widely accepted tool to definitively identify MDD as work-related, but the presence of certain patient and work characteristics may help. This paper seeks to review the evidence specific to depression in the workplace, and provide practical tips to help clinicians to identify and treat work-related MDD, as well as navigate disability issues.
Periodic ethanol supply as a path toward unlimited lifespan of Caenorhabditis elegans dauer larvae
Authors: Zhang Xingyu , Penkov Sider , Kurzchalia Teymuras V. , Zaburdaev Vasily
Published: September 2023

The dauer larva is a specialized stage of worm development optimized for survival under harsh conditions that have been used as a model for stress resistance, metabolic adaptations, and longevity. Recent findings suggest that the dauer larva of Caenorhabditis elegans may utilize external ethanol as an energy source to extend their lifespan. It was shown that while ethanol may serve as an effectively infinite source of energy, some toxic compounds accumulating as byproducts of its metabolism may lead to the damage of mitochondria and thus limit the lifespan of larvae. A minimal mathematical model was proposed to explain the connection between the lifespan of a dauer larva and its ethanol metabolism. To explore theoretically if it is possible to extend even further the lifespan of dauer larvae, we incorporated two natural mechanisms describing the recovery of damaged mitochondria and elimination of toxic compounds, which were previously omitted in the model. Numerical simulations of the revised model suggested that while the ethanol concentration is constant, the lifespan still stays limited. However, if ethanol is supplied periodically, with a suitable frequency and amplitude, the dauer could survive as long as we observe the system. Analytical methods further help to explain how feeding frequency and amplitude affect lifespan extension. Based on the comparison of the model with experimental data for fixed ethanol concentration, we proposed the range of feeding protocols that could lead to even longer dauer survival and it can be tested experimentally.
Effects of chronic liver disease on the outcomes of simultaneous resection of colorectal cancer with synchronous liver metastases: a propensity score matching study
Authors: Jiang Zheng-Jie , Peng Xu-Dong , Wei Zheng-Qiang , Tang Gang
Published: September 2023

Introduction

Given the rising prevalence of chronic liver disease (CLD), it is increasingly important to understand its impact on surgical outcomes. Our aim was to evaluate the impact of CLD on short-term outcomes in patients with colorectal cancer and synchronous liver metastases undergoing simultaneous surgery.

Methods

We retrospectively reviewed patients with colorectal cancer and liver metastases who underwent simultaneous resection between January 2013 and June 2022. Patients were divided into the CLD and non-CLD groups. Data regarding short-term surgical outcomes were compared between the two groups.

Results

A total of 187 patients were included. After propensity score matching, there were 42 patients in each group, and the basic characteristics of the two groups were similar. Patients with CLD had a significantly greater incidence of postoperative complications (47.6% vs. 26.2%; P = 0.042). The operation times of the CLD and non-CLD groups were similar (297 vs. 307.5 min, P = 0.537), and the blood loss was comparable between the two groups (250 vs. 155 ml, P = 0.066). No significant differences were observed between the two groups in pneumonia (P > 0.999), urinary infection rate (P > 0.999), ileus rate (P = 0.474), wound infection rates (P > 0.999), abdominal infection rate (P = 0.533), anastomotic leakage rate (P > 0.999), digestive hemorrhage rate (P > 0.999), bile leakage rate (P > 0.999), hepatic hemorrhage rate (P > 0.999), reoperation rate (P > 0.999), intensive care rate (P > 0.999), or severe liver failure (P > 0.999). There were no deaths in the two groups. CLD significantly prolonged the length of hospital stay (P = 0.011).

Discussion

CLD is an important factor affecting postoperative complications in patients with colorectal cancer liver metastases undergoing simultaneous surgery. Considering the large number of patients with CLD in China, more attention and medical care should be provided to patients with CLD who require simultaneous resection of colorectal cancer with synchronous liver metastases.