bluuebunny/crossref_metadata_2025 huggingface dataset:
A Compilation on the Physical Reality
Authors: Obande Ogaba Philip
Published: May 2023

The compilation summarizes results so far gathered in a project that investigates the atom with classical (Newtonian) physics. It posits that the atom’s wave-particle dual nature is real, objective and intrinsic; the wave gives rise to the cosmic vacuum field while the particle, of course, manifests condensed matter. Light’s π radians oscillation manifests, on molar scale, significant radial tension in the vacuum field, the effect, amongst others, causes molecular matter to precipitate out of the vacuum – so-called ‘molecular outflow’. Cosmic vacuum field radial tension relates to molecular mass, in other words, a mass-radius (M-R) relationship is uncovered. It is argued that using the M-R relation it is possible to perform a valid simulation of the cosmic physical reality. The three states of matter are meaningfully accounted for using the atom’s e-m radiation wavelength. It is explained that force, be it of any kind whatsoever, originates in the atomic waveform, i.e., the cosmic vacuum field.
Early Prediction of Mortality after Birth Asphyxia with the nSOFA
Authors: Dathe Anne-Kathrin , Stein Anja , Bruns Nora , Craciun Elena-Diana , Tuda Laura , Bialas Johanna , Brasseler Maire , Felderhoff-Müser Ursula , Hüning Britta
Published: May 2023

(1) Birth asphyxia is the major cause for delivery room resuscitation. Subsequent organ failure and hypoxic-ischemic encephalopathy (HIE) account for 25% of all early postnatal deaths. The neonatal Sequential Organ Failure Assessment (nSOFA) considers platelet count, respiratory and cardiovascular dysfunction in neonates with sepsis. To evaluate whether nSOFA is also a useful predictor for in-hospital mortality in neonates (≥ 36+0 weeks of gestation (GA)) following asphyxia with HIE and therapeutic hypothermia (TH), (2) nSOFA was documented at ≤ 6 hours of life. (3) 65 infants fulfilled inclusion criteria for TH. All but one infant received cardiopulmonary resuscitation and/or respiratory support at birth. nSOFA was lower in survivors (median 0 [IQR 0-2]; n = 56, median GA 39+3, female n = 28 (50%)) than in non-survivors (median 10 [4-12], p < 0.001; n = 9, median GA 38+6, n = 4 (44.4%)). This was also observed for the respiratory (p < 0.001), cardiovascular (p < 0.001), and hematologic sub scores (p = 0.003). The odds ratio for mortality was 1.6 [95% CI = 1.2 – 2.1] per one-point increase in nSOFA. The optimal cut-off value of nSOFA to predict mortality was 3.5 (sensitivity 100.0%, specificity 83.9%). (4) Since early accurate prognosis following asphyxia with HIE and TH is essential to guide end-of-life decisions, nSOFA (≤ 6 hours of life) offers the potential to identify infants at risk of mortality.
Coupled miR-155 Deficiency and Hypoxia Lead to the Upregulation of SLC2A3 (GLUT3) and VEGFA in the Leukemic B-cells
Authors: Golovina Elena , Heizer Tomas , Daumova Lenka , Bajecny Martin , Savvulidi Vargova Karina
Published: May 2023

Hypoxia represents one of the key factors that stimulate the growth of leukemic cells in their niche. Leukemic cells in hypoxia are forced to reprogram their original transcriptome, miRNome, and metabolome. How the coupling of miRNAs/mRNAs helps to maintain or progress the leukemic status is still not fully described. MicroRNAs (miRNAs) regulate practically all biological processes within cells and play a crucial role in leukemia development/progression. Here we worked with the human cell line MEC-1 (human chronic lymphocytic leukemia (CLL)) where we deleted mature miR-155 by CRISPR/Cas9. MEC-1 cells in hypoxia showed a higher proliferation rate with a relatively low level of apoptosis. Interestingly, miR-155 deficiency decreased the proliferation rate in both, normoxia and hypoxia. Besides common hypoxia-related genes (HIF1α, EGLN1, VHL, HK1, and HK2), we also measured, genes for glucose transporters SLC2A1 (GLUT1) and SLC2A3 (GLUT3). Surprisingly, only SLC2A3 (GLUT3) showed significant overexpression in hypoxia conditions in miR-155 deficient MEC-1cells which points to the possible novel target of miR-155 in CLL. Increased glucose uptake and decreased lactate support our hypothesis that miR-155 deficiency and hypoxia transform cell metabolism. To conclude, miR-155 deficiency and hypoxia-impaired glucose metabolism stimulate GLUT3 in CLL cells.
Reflections on Endogenous Biological Drivers in Diabetic Lower Limb Wounds Recurrence
Authors: Berlanga-Acosta Jorge , Garcia-Ojalvo Ariana , Guillen-Nieto Gerardo , Ayala-Avila Marta
Published: May 2023

An impaired healing response underlies diabetic foot wounds chronicity, frequently translating in amputation, disability, and early mortality. In addition, diabetics frequently suffer of the underappreciated episode of post-epithelization ulcer recurrence. Recurrence epidemiological data are alarmingly high; so that the ulcer is considered in “remission” and not healed for the time it remains epithelialized. Recurrence may result from the conspiracy of behavioral and biological factors. Although the damaging role of behavioral, clinical predisposing factors is undebatable, the role of endogenous biological signalers that prime the residual scar tissue to recurrence has remained elusive. We propose that ulcer recurrence is deeply impinged by chronic hyperglycemia and its downstream biological effectors, which originate epigenetic drivers that enforce abnormal pathologic phenotypes to dermal fibroblasts, and keratinocytes as memory cells. Hyperglycemia-derived cytotoxic reactants accumulate and modify dermal proteins, reduce scar tissue mechanical tolerance, and disrupt fibroblasts-secretory activity. Accordingly, the combination of epigenetic and local and systemic cytotoxic signalers, induce the onset of “at-risk phenotypes” as premature skin cells aging, dysmetabolism, inflammatory, pro-degradative, and oxidative programs that may ultimately converge to scar cells demise. Unfortunately, post epithelialization recurrence rates data are missing in clinical studies of accepted ulcer healing therapies during follow-up periods. Intra-ulcer infiltration of epidermal growth factor exhibits the most consistent remission data with the lowest recurrences during 12-month follow-up. Recurrence data should be regarded as a valuable clinical endpoint during the investigational period for each emergent healing candidate.
Parallel Guiding Sparse Auto-Encoder with Wasserstein Regularization for Efficient Classification
Authors: Lee Haneum , Hur Cheonghwan , Ibrokhimov Bunyodbek , Kang Sanggil
Published: May 2023

In the era of big data, feature engineering has proved its efficiency and importance in dimensionality reduction and useful information extraction from original features. Feature engineering can be expressed as dimensionality reduction and is divided into two types of methods such as feature selection and feature extraction. Each method has its pros and cons. There are a lot of studies to combine these methods. Sparse autoencoder (SAE) is a representative deep feature learning method that combines feature selection with feature extraction. However, existing SAEs do not consider the feature importance during training. It causes extracting irrelevant information. In this paper, we propose a parallel guiding sparse autoencoder (PGSAE) to guide the information by two parallel guiding layers and sparsity constraints. The parallel guiding layers keep the main distribution using Wasserstein distance which is a metric of distribution difference, and it suppresses the leverage of guiding features to prevent overfitting. We perform our experiments using four datasets that have different dimensionality and number of samples. The proposed PGSAE method produces a better classification performance compared to other dimensionality reduction methods.
Sustainable Entrepreneurship Education: a Literature Review
Authors: Rosário Albérico Travassos , Raimundo Ricardo
Published: May 2023

The importance of transforming to a sustainable economy to protect against global crises such as climate change is widely recognized. Sustainable entrepreneurs are seen as playing a key role in this transformation process by creating innovative market solutions with environmental, social, and economic value. To date, there is no consensus on the skills education should deliver to create sustainable entrepreneurs to solve sustainability challenges. The goal of this article is to identify sustainable entrepreneurship education factors that enable effective education of future sustainable entrepreneurs. An academic search engine and bibliographic database were searched for documents written in English and published between 2012 and April 2023 to identify existing educational models discussed in the current literature in sustainable entrepreneurship education (SEE). The review process resulted in a set of 59 empirical and non-empirical papers on SEE. The data analysis revealed different educational frameworks for sustainable entrepreneurship (SE), both developed for use in higher education institutions and secondary schools.
Addressing Language Competence in Pharmacy Education: Spanish and Arabic Languages as an Example
Authors: Ares Noa Valcarcel , Abdulrhim Sara Hamdi , Anders Karli , Ali Raja Mahamade , Mukhalalati Banan Abdulrzaq , Mraiche Fatima
Published: May 2023

Effective communication is key for healthcare providers to provide optimal care for patients. Pharmacists’ fluency in a patient’s native language is vital to communicate effectively. Additionally, language concordance improves patients’ trust and ensures health equity. In the United States (US), Hispanics are the largest minority group, but only 36% of the pharmacy schools in the US offer Spanish courses in their curriculum. Conversely, Middle Eastern countries have implemented English as the language of instruction in pharmacy schools, though the native language of the patient population is Arabic. The discrepancy between the language of education and the language used by patients might lead to communication problems, thus limiting a pharmacist’s role in practice. This review aims to describe the efforts of pharmacy schools both in the US and Middle Eastern countries to incorporate second language (Spanish and Arabic, respectively) in their curriculum. Spanish language content has scarcely been introduced into the pharmacy curriculum in the US either as didactic elements (elective courses, lab sessions, modules within a course, or co-curricular programs) or as language immersion experiences (rotations and internships nationally or abroad). In Arabic-speaking countries, an Arabic course was introduced to the pharmacy curriculum to enhance students’ communication skills. This review provides an overview of what has been done in various pharmacy programs to prepare students for adequate multilingual speaking. The findings reveal the need for additional strategies to assess the impact of language courses on student performance and patient experience, as well as language competence in pharmacists and pharmacy students.
Comparative Study of the U(VI) Adsorption by Hybrid Silica-Hyperbranched Poly(ethylene imine) Nanoparticles and Xerogels
Authors: Arkas Michael , Giannakopoulos Konstantinos , Favvas Evangelos P. , Papageorgiou Sergios , Theodorakopoulos George V. , Giannoulatou Artemis , Vardavoulias Michail , Giannakoudakis Dimitrios A , Triantafyllidis Konstantinos S , Georgiou Efthalia , Pashalidis Ioannis
Published: May 2023

Two different silica conformations (Xerogels and Nanoparticles) both formed by the mediation of dendritic poly (ethylene imine) were tested at low pHs on the problematic uranyl cation sorption. The effect of crucial factors i.e., temperature, electrostatic forces, adsorbent composition, accessibility of the pollutant to the dendritic cavities and MW of the organic matrix was investigated to conclude the optimum formulation for water purification under these conditions. This was attained with the aid of UV-Visible and FTIR spectroscopy, dynamic light scattering (DLS), ζ-potential; Brunauer–Emmett–Teller (BET) porosimetry, Thermo Gravimetric Analysis (TG) and Scanning Electron Microscopy (SEM) Results highlighted that both adsorbents have extraordinary sorp-tion capacity. Xerogels are cost-effective since they approximate the performance of na-noparticles with much lesser organic content. Furthermore, they are more practicable materials since they may penetrate the pores of a metal or ceramic solid substrate in the form of a precursor, gel-forming solution.
Mesoscale Static and Fatigue Analysis of 2D Woven Roving Plates with Convex Holes and Subjected to Axial Tension
Authors: Muc Aleksander
Published: May 2023

Abstract—In the present paper the static and fatigue analysis of plates with holes is conducted. Structures are made of 2D woven roving composites. The parametrization of convex holes is proposed. Experimental results of specimens without holes and with different shapes of notches under static and fatigue tensile loads are presented. The fatigue behaviour of structures is analysed with the use of the low cycle fatigue method. The attention is focused on the nonlinear deformations of 2D woven roving structures leading to the scatter of results. The analysis is supplemented by the numerical finite element modeling. The agreement between experimental and finite element modeling is very good.
Since we do not intend to repeat in the abstract the review of the existing literature I would like to emphasize only that the present work is a continuation and extension of the results discussed in the literature – see the next sections of the paper. The finite element modeling of plates with holes is presented in details by Muc [1], Muc, Ulatowska [2] and Muc, Romanowicz [3] including also the problems of the accuracy. The mesh correctness and accuracy is discussed in Ref [2] where the results are compared to the analytical results illustrated in the Soviet Union literature. The experimental results and the form of specimens are shown by Pandita et al. [4] and they are fundaments for our present experimental investigations.
Two parametrical description of static and fatigue behaviour of plates with holes characterizes the goal and the novelty of the paper. The analysis demonstrates how those parameters affect on the variations of static and fatigue failure loads. In addition, it should be emphasized that the fuzzy approach is employed herein to reduce the number of experimental data and to avoid statistical analysis of experimental results – see e.g. Muc [5]. In the mesoscale modeling and using the fuzzy approach it is possible to achieve a very good description of static and fatigue behavior of plates with convex holes subjected to tension.
Morphologic and Genetic Characterization of Protospirura Canariensis N. Sp. (Nematoda, Spiruridae), a Parasite of the Black Rat Rattus rattus (Rodentia, Muridae) from El Hierro Island (Canary Archipelago, Spain) †
Authors: Miquel Jordi , Martín-Carrillo Natalia , Ribas Alexis , Sánchez-Vicente Santiago , Feliu Carlos , Foronda Pilar
Published: May 2023

A new spirurid nematode Protospirura canariensis n. sp., parasite of the black rat Rattus rattus (Rodentia: Muridae) in El Hierro Island (Canary Archipelago, Spain) is described by means of light (LM) and scanning electron microscopy (SEM). The most discriminant characteristics between the new species and the existing species in the genus Protospirura are: (a) the number of tooth-like prominences in the submedian and lateral lobes of pseudolabia, both in males and females (2 and 4, respectively), (b) the size of right and left spicules in males (643–715 µm and 309–412 µm, respectively), and (c) the number and arrangement of cloacal papillae in males. The new species has a total of 17 cloacal papillae (four large and pedunculated pairs of precloacal papillae, an unpaired precloacal papilla and four pairs of postcloacal papillae). The arrangement of postcloacal papillae are as follows: the first pair are large, pedunculated and placed near the posterior edge of cloaca; the three remaining postcloacal pairs are grouped and located near the posterior tip. In the latter group, papillae in the first pair are large and pedunculated. Parasitized host and geographical distribution are also useful criteria to distinguish P. canariensis n. sp. from the remaining species of the genus Protospirura. In addition, the cytochrome c oxidase subunit 1 (cox1) sequence of the new species is provided and compared with available data of related species.
Fusion Object Detection and Action Recognition to Predict Violent Action
Authors: Rodrigues Nelson , Costa Nuno M. C. da , Melo César Gonçalo Macedo , Abbasi Ali , Fonseca Jaime C. , Cardoso Paulo , Borges João
Published: May 2023

In the context of Shared Autonomous Vehicles, the need to monitor the environment inside the car will be crucial. This article focuses on the application of deep learning algorithms to detect objects, namely lost/forgotten items to inform the passengers, and aggressive items to monitoring if violent actions may arise between passengers. For object detection algorithms was used public datasets (COCO and TAO) to train state-of-the-art algorithms, such as YOLOv5. For violent action detection was used the MoLa InCar dataset to train on state-of-the-art algorithms such as I3D, R(2+1)D, SlowFast, TSN and TSM. At the end an embedded automotive solution was used to demonstrate both methods running in real-time.
Immune and Non-immune Inflammatory Cells Involved in Autoimmune Fibrosis: New Discoveries
Authors: Sisto Margherita , Lisi Sabrina
Published: May 2023

Fibrosis is an important health problem and its pathogenetic activation is still largely unknown. It can develop either spontaneously or, more frequently, as a consequence of various underlying diseases, such as chronic inflammatory autoimmune diseases. Fibrotic tissue is always characterized by mononuclear immune cells infiltration. The cytokine profile of these cells shows clear proinflammatory and profibrotic characteristics. Furthermore, the production of inflammatory mediators by non-immune cells, in response to several stimuli, can be involved in the fibrotic process. It is now established that defects in the abilities of non-immune cells to mediate immune regulation may be involved in the pathogenicity of a series of inflammatory diseases. The convergence of several, not yet well identified, factors results in the aberrant activation of non-immune cells, such as epithelial cells, endothelial cells and fibroblasts, that producing pro-inflammatory molecules, exacerbate the inflammatory condition leading to the excessive and chaotic secretion of extracellular matrix proteins. However, the precise cellular mechanisms involved in this process have not yet been fully elucidated. In this review we explore the latest discoveries on the mechanisms that initiate and perpetuate the vicious circle of abnormal communications between immune and non-immune cells, responsible for fibrotic evolution of inflammatory autoimmune diseases.
Data-Assisted Training of a Physics-Informed Neural Network to Predict the Reynolds-Averaged Turbulent Flow Field around a Stalled Airfoil under Variable Angles of Attack
Authors: Harmening Jan Hauke , Pioch Fabian , Fuhrig Lennart , Peitzmann Franz-Josef , Schramm Dieter , el Moctar Ould
Published: May 2023

Physics-informed neural networks are a promising method to yield surrogate models of flow fields. We present a metamodeling technique for variable geometries based on physics-informed neural networks. The method was applied to the DU99W350 airfoil at a Reynolds number of 1×105. The model predicted the Reynolds-averaged velocity and pressure field around the airfoil for arbitrary angles of attack between 10.0° and 17.5°. The model was trained with data from CFD simulations for a limited set of angles of attack. Additionally, satisfaction of the a priori known boundary conditions as well as the Reynolds-averaged Navier-Stokes equations were trained. A sensitivity analysis concerning the Reynolds number, the amount and distribution of training data, and the turbulence model was conducted showing the superiority of the pseudo-Reynolds stress method and the demand of labeled training data in the domain. The trained network was capable of predicting the developing flow separation on the suction surface and exhibited excellent agreement with CFD results even in the proximity to the wall for interpolations as well as extrapolations from the labeled data set.
Further Accurate Numerical Radius Inequalities
Authors: Qawasmeh Tariq , Qazza Ahmad , Hatamleh Raed , Alomari Mohammad W. , Saadeh Rania
Published: May 2023

In this work, new refinements of some numerical radius inequalities are proved. Namely, new improvements and refinements purify the recent inequalities of some famous inequalities concerning the numerical radius of Hilbert space operators. The proven inequalities in this work are not only an improvement over old inequalities, but rather they are stronger than them. Several examples that support the validity of our results are established as well.
Quantitative Loop-mediated Isothermal Amplification Detection of Ustilaginoidea virens Causing Rice False Smut
Authors: Zhang Yu , Li Xinyue , Zhang Shuya , Ma Tianling , Mao Chengxin , Zhang Chuanqing
Published: May 2023

Rice false smut caused by Ustilaginoidea virens is one of the most devastating diseases on rice worldwide, which results in serious reduction of rice quality and yield. As an airborne fungal disease, early diagnosis of rice false smut, monitoring the epidemics and distribution of its pathogens, is particularly important to management the infection. In this study, a quantitative loop-mediated isothermal amplification (q-LAMP) method for the U. virens detection and quantifying was developed. This method has higher sensitivity and efficiency compared to quantitative real-time PCR (q-PCR) method. The species-specific primer sets UV-2 used was design based on the unique sequence of U. virens ustiloxins biosynthetic gene (NCBI accession number: BR001221.1). The q-LAMP assay was able to detect a concentration of 6.4 spores/mL at an optimal reaction temperature of 63.4℃ within 60 min. Moreover, the q-LAMP assay can even achieve accurate quantitative detection when there were only 9 spores on the tape. A linearized equation for the standard curve, y =-0.2866x + 13.829 (x is the amplification time, the spore number = 100.65y), was established for detection and quantifying of U. virens. In field detection applications, this q-LAMP method is more accurate and faster than traditional observation method. Collectively, this study has established a powerful and simple monitoring tool for U. virens, which provide valuable technical supports for forecast and management of rice false smut, and theoretical basis for precise fungicide application.
Review of Multi-fidelity Models
Authors: Fernández-Godino M. Giselle
Published: May 2023

This article provides an overview of multi-fidelity modeling trends. Fidelity in modeling refers to the level of detail and accuracy provided by a predictive model or simulation. Generally, models with higher fidelity deliver more precise results but demand greater computational resources. Multi-fidelity models integrate high-fidelity and low-fidelity models to obtain fast yet accurate predictions. Their growing popularity is due to their ability to approximate high-fidelity models with high accuracy and low computational cost. This work classifies publications in multi-fidelity modeling based on various factors, including application, surrogate selection, fidelity difference, fidelity combination method, field of application, and year of publication. The study also examines the techniques used to combine fidelities, focusing on multi-fidelity surrogate models. To accurately evaluate the advantages of utilizing multi-fidelity models, it is necessary to report the achieved time savings. This paper includes guidelines for authors to present their multi-fidelity-related savings in a standard, succinct, yet thorough way to guide future users. According to a select group of publications that provided sufficient information, multi-fidelity models achieved savings of up to 90% while maintaining the desired level of accuracy. However, the savings achieved through multi-fidelity models depend highly on the problem.
Nondestructive Internal Defect Detection of In-Shell Walnuts by X-ray Technology Based on Improved Faster R-CNN
Authors: Zhang Hui , Ji Shuai , Shao Mingming , Pu Houxu , Zhang Liping
Published: May 2023

The purpose of this work was to achieve non-destructive detection of the internal defects of in-shell walnuts using X-ray radiography technology based on improved Faster R-CNN network model. First, the FPN structure was added to the feature extraction layer to extract richer image information. Then ROI Align was used to instead of ROI Pooling for eliminating the localization bias problem caused by quantization operation. Finally, the Softer-NMS module was introduced to the final regression layer with the predicted bounding box for improving the localization accuracy of the candidate boxes. The results indicated that the internal defects in intact walnuts with shells could be identified effectively using the proposed improved network model in this study. Specifically, the discrimination accuracy of the in-shell sound, shriveled and empty-shell walnuts were 96.14%, 91.72% and 94.80% respectively, and the highest overall accuracy can reach 94.22 %. Contrasted with original Faster R-CNN network model, the mAP and F1-value of the improved Faster R-CNN model increased by 5.86% and 5.65%, respectively. Consequently, the proposed method can be applied for the in-shell walnuts with shriveled and empty-shell defects.
Understanding Transcription Factors and How They Affect Metabolic Processes in Cucumber Sex Determination
Authors: Turek Szymon , Aparna Aparna , Skarzyńska Agnieszka , Pląder Wojciech , Pawełkowicz Magdalena
Published: May 2023

Plant reproduction is a very important process on Earth from the perspective of biodiversity, biomass gain and crop productivity. It is therefore important to understand sex determination process and many researchers are investigating the molecular basis of this phenomenon. However, information on the influence of transcription factors (TFs) on this process is limited, although cucumber is a model plant in this regard. In the present study, based on RNA-seq data for differential gene expression (DEG) analyses, we aimed to investigate the regulatory TFs that may influence the metabolomic processes in the shoot apex containing the forming flower buds. Therefore, a robust TF database was established for the B10v3 cucumber genome. Sex-specific interactome network maps were generated, indicating the regulatory TFs by their effects on DEGs and further on processes leading to the formation of different sex flowers. The network analysis identified major families of regulatory TFs. The most abundant families were: MYB, AP2/ERF, NAC and bZIP, and those with the greatest impact on developmental processes were identified, namely the AP/ERF family, followed by DOF, MYB, MADS and others. Thus, the central nodes and key regulators in the networks were identified with respect to male, female and hermaphrodite. Here, we proposed the first model of the regulatory network of TFs that influences the metabolism of sex development in cucumber. These findings may help to understand the molecular genetics and functional mechanisms underlying sex determination processes.
Seroepidemiological and Molecular Survey for Detection of SARS-CoV-2 Infection Among Children in Iran, September 2020 to June 2021: One-Year Cross-sectional Study
Authors: Mansour Ghanaie Roxana , Boone Idesbald , Shamshiri Ahmadreza , Karimi Abdollah , Amirali Arezu , Marhamati Noushin , Rostami Mohammad Hossein , Pashaei Niloofar , Janbazi Shahriar , Azimi Leila , Khodaei Hannan , Fallah Fatemeh , Eckmanns Tim , Jansen Andreas , Baradaran Hamid Reza , Momeny Ourimi Maryam , Maham Saeed , Elikaei Ameneh , Alebouyeh Masoud
Published: May 2023

A population-based seroepidemiological and molecular survey for detection of earlier and re-cent SARS-CoV-2 infection was done in children aged 14 years or less in Tehran between 19 September 2020 and 21 June 2021. Demographic data, COVID-19 symptoms and infection status were recorded and IgG antibodies and RNA of SARS-CoV-2 were detected in sera and nasopha-ryngeal swab samples, respectively. Out of 1517 participants, cardinal symptoms of COVID-19 (fever >38 oC and/or cough and/or diarrhea) were detected in 18% and serological history of SARS-CoV-2 infection and PCR positivity were confirmed in 33.2% and 10.7% of the weighted-population, respectively. SARS-CoV-2 infection was significantly higher among 10–14-year-old children. Active infection was significantly higher in symptomatic children and during autumn 2020 and spring 2021. The RT-qPCR positivity was related to contact with in-fected persons. RT-qPCR positivity was significantly higher among families with a lower socio-economic status, while no association between RT-qPCR- or seropositivity was determined with household size, underlying diseases, or gender. In conclusion, high SARS-CoV-2 infection prev-alence and seroprevalence was detected in children in Tehran in different seasons. The infection was significantly higher in older age children, and those with a positive-history of close contact with infected cases and/or lower socioeconomic status.
Evolving Therapies Targeting the Viruses and Host in Hbv/Hdv-Coinfection; Analyses of the Present Strategies
Authors: Akbar Sheikh Mohammad Fazle , Al Mahtab Mamun , Hiasa Yoichi
Published: May 2023

Coinfection of B virus (HBV) and hepatitis Delta virus (HDV) lead to severe forms of progressive liver diseases. However, commercially available antiviral drugs have shown considerable adverse effects and low efficacy in managing these patients. Thus, there is a pressing need to develop new, innovative, and evidence-based therapies for these pathological entities. In line with this, some investigators have attempted to develop anti-viral drugs targeting HBV/HDV coinfection. In another development, investigators have also attempted to establish immune therapy targeting for HBV infection as recovery or effective control of HBV infection also lead to efficient control of HDV infection. This review has discussed an account of the evolving antiviral and immune therapeutic drugs for HBV/HDV infection. Also, based on current scientific knowledge how we have described the pros and cons of these drugs as no suitable drug has been developed during the last forty years for treating HBV infection except the availability of two” repurposed drugs”; interferons and its derivatives and nucleoside analogs, for managing HBV or HBV/HDV coinfection. It seems that an evolving and innovative therapeutic regimen that combines both antiviral drugs and immune modulators may be the best and realistic option for management of HBV/HDV coinfection.
The Anti-arthritic Activity of Diclofenac Lipid-Core Nanocapsules: Stereological Analysis Showing More Protection of Deep Joint Components
Authors: Ureña Nathalie Marte , De Oliviera Catiúscia Padilha , Guterres Silvia , Pohlmann Adriana , Costa Oscar Tadeu Ferreira da , Boechat Antonio Luiz
Published: May 2023

Introduction: Diclofenac is the most prescribed non-steroidal anti-inflammatory drug worldwide and used to reliev pain and inflammation for inflammatory arthritis. Diclofenac do not slows disease progression and cartialge damage of Rheuamtoid Arthritis individuals. Moreover, it associated with seriuos adverse effects even using regular dose regimens. Drug delivery systems can overcome this issues reducing adverse effects and optmizing efficacy. Objectives: to evaluate the activity of a lipid-core nanocapsule loaded of Diclofenac (DIC-LNC) in an experimental model of adjuvant-induced arthritis and its anti-arthritic properties at the joint components. Methods: The diclofenac nanoformulation was obtained by self-assembling methodology. The stereology analysis aproach was applied for morphological quantification of the volume, density and cellular profile count of the metatarsophalangeal joints of rats induced to adjuvant arthritis. Proinflamatory cytokines and biochemical profile was also obtained. Results: DIC-LNC is able to reduce arthitis compared to control group (p<0.0001) and DIC group (p=0.009). The TNF and IL1 cytokine as well as C-reative protein and Xanthine-oxidade were efficiently reduced by DIC-LNC. Additionally, DIC-LNC reduces synovites and condrocytes lossing compared to DIC (p<0.05)and control group (p<0.05). The synovial space volume was higher for DIC-LNC compared to DIC (p<0.05) and Control (p<0.05). These data are suggesting that DIC-LNC is showing anti-arthritic actvity preserving deep joint components. Conclusion: DIC-LNC is a promissing nanoformulation for clinical use, since is able to reduce joint inflamation and synovits, avoiding damage of cartilage and synovial space at advjuvant athrits. Further studies and developments are necessary to achieve future clinical use.
MEMS Sensors Driven Scientific Process to Solve Acute Compartment Syndrome
Authors: Merle Geraldine , Parent-Harvey Alexandre , Harvey Edward Joseph
Published: May 2023

Background Sensor usage in the classical scientific process has allowed new ex-perimentation in medicine. We report on the design process of a MEMS sensor being used for muscle trauma evaluation in diagnosing acute compartment syndrome (ACS), a medical ailment costing society billions of dollars per year.
Objectives Modeling the disease with scientific process allows a more complete under-standing of the disease. The goal was to formulate a hypothesis that could be tested to aid in making the diagnosis of ACS accurately.
Methods Scientific process was observed throughout the disease modelling process. Background information was improved and clarified, new pre-clinical models were de-signed and verified, a hypothesis built on pressure measurement with MEMS sensors was carried out, and the testing of the model as verified against previous clinical data was accomplished.
Results Scientific process resulted in hypothesis generation around the relationship of intracompartmental pressure measurement and the disease process and therapy. This resulted in new understanding of ACS, accurate modelling, and sensor. Design resulting in a MEMS device that has an extremely high sensitivity and specificity (over 99%) in treating and diagnosing the disease.
Conclusion MEMS sensor technology defines the new gold standard of implanting a sensor in a muscle compartment that allows accurate diagnosis of ACS with continuous trends in pressure.
MEMS Sensors Driven Scientific Process to Solve Acute Compartment Syndrome
Authors: Merle Geraldine , Parent-Harvey Alexandre , Harvey Edward Joseph
Published: May 2023

Background: Sensor usage in the classical scientific process has allowed new experimentation in medicine. We report on the design process of a MEMS sensor being used for muscle trauma evaluation in diagnosing acute compartment syndrome (ACS), a medical ailment costing society billions of dollars per year. Objectives: Modeling the disease with scientific process allows a more complete under-standing of the disease. The goal was to formulate a hypothesis that could be tested to aid in making the diagnosis of ACS accurately. Methods: Scientific process was observed throughout the disease modelling process. Background information was improved and clarified, new pre-clinical models were de-signed and verified, a hypothesis built on pressure measurement with MEMS sensors was carried out, and the testing of the model as verified against previous clinical data was accomplished. Results: Scientific process resulted in hypothesis generation around the relationship of intracompartmental pressure measurement and the disease process and therapy. This resulted in new understanding of ACS, accurate modelling, and sensor design resulting in a MEMS device that has an extremely high sensitivity and specificity (over 99%) in treating and diagnosing the disease. Conclusion: MEMS sensor technology defines the new gold standard of implanting a sensor in a muscle compartment that allows accurate diagnosis of ACS with continuous trends in pressure.
Beyond the Microbiota: Understanding the Role of the Enteric Nervous System in Parkinson’s Disease From Mice to Human
Authors: Montanari Martina , Imbriani Paola , Bonsi Paola , Martella Giuseppina , Peppe Antonella
Published: May 2023

The enteric nervous system (ENS) is a neural network referred to as "the brain in the gut" because of its similarities to the central nervous system (CNS). The ENS consists of numerous types of neurons and glial cells distributed in two intramuscular plexuses that span the length of the intestine and control coordinated smooth muscle contractile activity and other intestinal functions. It is well-established that reciprocal communication exists between the brain and the gastrointestinal tract. Although the ENS can function independently, it is connected to the CNS through the afferent and efferent pathways of the parasympathetic and sympathetic nervous systems. In addition to regulating ENS function by the CNS, these connections are likely to be critically involved in the pathophysiology of Parkinson's disease (PD). PD is a common neurodegenerative disorder that presents with non-motor and motor symptoms. Surprisingly, ENS lesions have been shown to occur very early in the disease, even before CNS involvement. This has led to the postulation that the ENS may be central to the pathophysiology of PD. Autopsy studies have shown that α-synuclein (αS) aggregates in PD patients are found both in the substantia nigra (SN) and the ENS. Therefore, it has been hypothesized that the pathological process leading to PD may initially occur in the ENS years before the appearance of motor features. This process induces misfolding and aggregation of αS in specific subtypes of neurons in the CNS. Finally, it spreads retrogradely in the CNS through preganglionic vagal fibers to the dorsal motor nucleus of this nerve and to other central nervous structures. In addition to the presumed role in the spread of the disease process, it has also been suggested that pathological changes in the ENS might be involved in the gastrointestinal dysfunction frequently seen in Pd patients. Starting from the evidence in animal models and using a translational point of view, in this review, we aim to summarize the role of the ENS in the pathogenesis of PD and how this system could be modulated for a novel therapeutic approach. While acknowledging the presumed role of the microbiome in the gut-brain axis, we will shift the focus from this point of view to focus more on the neurons of the ENS.
Gut-on-a-Chip Research for Drug Development: Implications of Chip Design on Preclinical Oral Bioavailability or Intestinal Disease Studies
Authors: Donkers Joanne M. , Vaart Jamie I. van der , Van de Steeg Evita
Published: May 2023

The gut plays a key role in drug absorption and metabolism of orally ingested drugs. Additionally, characterization of intestinal disease processes are increasingly gaining more attention as gut health is an important contributor to our overall health. The most recent innovation to study intestinal processes in vitro is the development of gut-on-a-chip (GOC) systems. Compared to conventional in vitro models they offer more translational value, and many different GOC models have been presented over the past years. Here, we reflect on the almost unlimited choices in designing and selecting a GOC for preclinical drug (or food) development research. Four components that largely influence the GOC design are highlighted, namely 1) the biological research questions, 2) chip fabrication and materials, 3) tissue engineering, and 4) the environmental and biochemical cues to add or measure in the GOC. Examples are presented of GOC studies in the two major areas of preclinical intestinal research: 1) intestinal absorption and metabolism to study the oral bioavailability of compounds, and 2) treatment-orientated research for intestinal diseases. The last section of this review presents an outlook on the limitations to overcome in order to accelerate preclinical GOC research.
A Significance of an Amelioration of Endothelial Dysfunction by Sodium-Glucose Cotransporter 2 Inhibitors for an Improvement of Heart Failure and Chronic Kidney Disease
Authors: Yanai Hidekatsu , Adachi Hiroki , Hakoshima Mariko , Katsuyama Hisayuki
Published: May 2023

Beyond plasma glucose-lowering in patients with type 2 diabetes, sodium- glucose cotransporter 2 inhibitors (SGLT2i) significantly reduced the hospitalization for heart failure (HF) and retarded the progression of chronic kidney disease (CKD). Endothelial dysfunction is not only involved in the development and progression of cardiovascular disease (CVD), and is also associated with the progression of CKD. In patients with type 2 diabetes, hyperglycemia, insulin resistance, hyperinsulinemia and dyslipidemia induce the development of endothelial dysfunction. SGLT2i have shown an improvement in endothelial dysfunction, as assessed by flow-mediated vasodila-tion, in individuals at high risk for CVD. Along with an improvement of endothelial dysfunction, SGLT2i showed improvements in oxidative stress, inflammation, mitochondrial dysfunction, glucotoxicity such as advanced glycation end products signaling and nitric oxide bioavailability. The improvements in endothelial dysfunc-tion and such endothelium-derived factors may play an important role in preventing the development of coronary artery disease, coronary microvascular dysfunction and diabetic cardiomyopathy which cause HF and in retarding CKD. The suppression of the development of HF and the progression of CKD achieved by SGLT2i might have been largely induced by the improvement of vascular endothelial function by SGLT2i.
Discussion About the Type of Prosthesis Recommended in Patients With Hip Fractures and Dementia
Authors: Bradeanu Andrei Vlad , Pascu Loredana Sabina , Sarbu Nicolae , Ciubara Bogdan Alexandru , Muntenita Cristian , Nechita Aurel , Sarbu Mihaela Ionela , Ciubara Anamaria
Published: May 2023

Background: Due to the aging process and the associated psychiatric pathology, the decrease in visual acuity, anemia, muscle atrophy and the decrease in bone resistance, the most common mechanism of hip fracture production is represented by falling from the same level. Early diagnosis and treatment of psychiatric diseases can reduce the occurrence of hip fractures through proper care of patients in different centers under the strict supervision of qualified personnel.
Objectives: Assessment of pain, measurement of locomotion capacity after surgery, quality of life and life expectancy in patients with dementia and hip fractures surgically or functionally treated. Evaluation of the patient's well-being and prognosis after specific types of osteosynthesis and hip arthroplasty.
Results: During one year, 520 patients with hip fractures presented themselves at the EU, of which 66 presented both pathologies. The mortality rate seemed to be lower in patients that underwent surgery, compared to those who chose functional treatment. However, treatment decisions require a multidisciplinary team and individualized recommendations for each patient, due to high surgical risk in the elderly.
The Analgesic Effect of Locating a Tibial External Fixation Device Through Acupoint St 36
Authors: Martonovich Noa Rina , Avraham Yaniv , Barzel Oren , Maman David , Lerner Alexander , Behrbalk Eyal
Published: May 2023

Introduction: The application of external fixation devices consists of wires insertion through the skin and soft tissue to the bone. We examined the possible analgesic effect of stimulating an acupoint by the fixation wires which mimics the acupunctures treatment. Material and methods: retrospective work. Between 2015 to 2018 107 patients were treated with an external fixation for a tibial fracture. 33 patient files were found to be eligible for the review. Patients were retrospectively divided into two groups: the study group included patients with a wire inserted through the ST36 (Zu San li) acupoint location, the control group had the wire inserted elsewhere. Patient's record was reviewed for 5 days following surgery. Data collected included analgesic consumption and pain level recorded on a visual analog scale (VAS). Results: 33 patients were included in the review. 20 patients in the study group and 13 served as the control group. In the study group VAS average was Mean (M)=1.4853 ± 1.30 while in the control group M=2.3885± 1.77 with no statistical relevance (P>0.05). Only on day 4 the study group had less pain than the control: M=0.40 ± 0.843, versus M=2.57 ± 2.149 (Mann=Whitney Z= -2.413, P<0.05). No statistical difference was found between groups in relation to analgesic consumption. Conclusions: In patients suffering from a tibial fracture treated with an Ilizarov external fixation device, locating a wire in the anatomical location of acupoint ST 36 had no effect on analgesic consumption and a minimal effect on patients’ pain levels.
A Two-Species Finite Volume Scalar Model for Modelling the Diffusion of Poly(lactic-co-glycolic acid) into a Coronary Arterial Wall from a Single Half-Embedded Drug Eluting Stent Strut
Authors: Hewlin Rodward L. , Edwards Maegan , Kizito John P.
Published: May 2023

Abstract: This paper outlines the methodology and results for a two species finite volume scalar computational drug transport model developed for simulating the mass transport of Poly(lactic-co-glycolic acid (PLGA) ) from a half-embedded single strut implanted in a coronary arterial vessel wall. The mathematical drug transport model incorporates the convection-diffusion equation in scalar form (dimensionless) with a two species (free-drug and bound-drug) mass transport setup including reversible equilibrium reaction source terms for the free and bound-drug states to account for the pharmaco-kinetic reactions in the arterial wall. The relative reaction rates of the added source terms control the interconversion of drug between the free and bound-drug states. The model is solved by a 2-D finite-volume method for discretizing and solving the free and bound drug transport equations with anisotropic vascular drug diffusivities. This model is an improvement over our previously developed model using the finite-difference method. A dimensionless characteristic scaling pre-analysis was conducted a priori to evaluate the significance of implementing the reaction source terms in the transport equations. This paper reports the findings of an investigation of the interstitial flow profile into the arterial wall and the free and bound drug diffusion profiles with a parametric study of varying polymer drug concentration (low and high), tortuosity, porosity, and Peclet and DamKöhler numbers over the course of 400 hours (16.67 days). The results also reveal how a single species drug delivery model that neglects both a reversible binding reaction source term and the porosity and tortuosity of the arterial wall cannot accurately predict the distribution of both the free and bound drug.