bluuebunny/crossref_metadata_2025 huggingface dataset:
Recommender Systems Applications: Data Sources, Features, and Challenges
Authors: Alfaifi Yousef H.
Published: October 2024

In recent years, there has been growing interest in recommendation systems, which is matched by their widespread adoption across various sectors. This can be attributed to their effectiveness in reducing an avalanche of data into individualized information that is meaningful, relevant, and can easily be absorbed by a single person. Several studies have recently navigated the landscape of recommendation systems, attending to their approaches, challenges, and applications, as well as the evaluation metrics necessary for effective implementation. This systematic review investigates the understudied aspects of recommendation systems, including the data input into the systems and their features or outputs. The data in (input) and data out (features) are both diverse and vary significantly from not just one application domain to another, but also from one application use case to another, which is a distinction that has not been thoroughly addressed in the past. In addition, this study explores several application domains, providing a comprehensive breakdown of the categorical data consumed by these systems and the features, or outputs, of these systems. Without focusing on any particular journals or their rankings, this study collects and reviews articles on recommendation systems published from 2018 to April 2024, in four top-tier research repositories, including IEEE Xplore Digital Library, Springer Link, ACM Digital Library, and Google Scholar.
Courtship Behavior of Adult Spodoptera frugiperda (Lepidoptera: Noctuidae) Observed Using Track 3D Trajectory Tracking
Authors: Liu Jie , Tallat Mariam , Wang Gensong , Li Zhi , Li Guoping , Zhao Xincheng , Feng Hongqiang
Published: October 2024

Spodoptera frugiperda, also known as the fall armyworm (FAW), is classified by the Food and Agriculture Organization of the United Nations (FAO) as a major agricultural pest. By gaining a more nuanced understanding of the fall armyworm’s courtship behavior, simpler and more environmentally friendly methods of controlling this pest can be developed. This study used the Track 3D system to meticulously record and describe the activity characteristics and patterns of adult males and females during courtship. The results show that adult FAWs engaged in a variety of activities during courtship that were either discrete (flying, flapping, moving, and crawling), continuous (flapping + flying, flapping + crawling, and flying + crawling), or combined (flapping + touching + flapping; flying + touching + flying). Flying and flapping were the most common activities, with observed flight patterns consisting of parabolic, circular, and zigzag trajectories. The peak activity times for adult FAWs are mainly concentrated at 11:00 p.m., 3:00 a.m., and 5:00 a.m., providing fundamental data for the precise attraction and control of adult FAWs at later stages.
Effect of Aerobic Exercise with Blood Flow Restriction on Postexercise Hypotension in Young Adults: The Role of Histamine Receptors
Authors: Seo Dongnyeuck , Song Dae Sik , Boyer William , Gillum Trevor , Sullivan Sean , Liwanag Nailiyah , Yoon Iltark , Kim Jong-Kyung
Published: October 2024

We tested hypothesis that aerobic exercise with blood flow restriction (BFR) induced postexercise hypotension (PEH), and the reduction in blood pressure (BP) was due to peripheral vasodilation via the histamine receptors. Ten male subjects participated in this study. The subjects were randomly assigned to walk for 10 min at 6.4 km/h, 0% grade with or without BFR after taking histamine receptor blockade. Following exercise, BP was measured at 10 min interval for 60 min. Heart rate (HR), stroke volume (SV), cardiac output (CO), mean arterial pressure (MAP), and total peripheral resistance (TPR) were evaluated. Our results indicated that MAP was significantly lowered immediately after exercise at 20 min, 30 min, and 40 min before the blockade as opposed to after the blockade. A significant reduction in diastolic BP (DBP) occurred. There were no significant differences in HR, SV, CO, and TPR between before the blockade and after the blockade. MAP was substantially decreased at 20 min, 30 min, and 40 min before the blockade compared to resting (−3.2 ± 2.2, −3.3 ± 2.8, and −2.9 ± 2.5, respectively) while increasing MAP after the blockade. The current study demonstrated that low-intensity aerobic exercise with BFR lowered MAP via histamine receptor-induced peripheral vasodilation. In conclusion, BFR exercise training using short periods and low intensity would be greatly beneficial as a potential treatment to lower BP.
Update/Refinement of Targeted Muscle Reinnervation Indication: A Scoping Review of Applications for Non-Amputees
Authors: Cornacchini Jonathan , Oubari Haïzam , Tereshenko Vlad , Bejar-Chapa Maria , Berkane Yanis , Scarabosio Anna , Lellouch Alexandre G. , Camuzard Olivier , Eberlin Kyle R. , Lupon Elise
Published: October 2024

Background: Targeted muscle reinnervation (TMR) was originally developed to enhance prosthetic control in amputees. However, it has also serendipitously demonstrated benefits in reducing phantom pain and neuromas. As a result, it has emerged as a secondary treatment for chronic neuromas in amputees and holds promise for managing neuropathic pain in non-amputee patients, particularly those with neuromas. This review synthesizes the current literature on TMR indications for non-amputee patients, highlighting its potential to address chronic peripheral nerve pain and neuromas beyond its original application in amputation. Methods: A thorough search of the PubMed and Cochrane databases up to January 2024 was conducted following the PRISMA guidelines. Inclusion criteria comprised case series, cohort studies, and randomized controlled trials reporting TMR outcomes in non-amputees. Results: Of 263 articles initially identified, 8 met the inclusion criteria after screening and full-text assessment. The articles were all case series with varied sample sizes and mainly focused on neuroma treatment (n = 6) and neuropathic pain management (n = 2) for both upper and lower extremities. Clinical studies included TMR efficacy for sural nerve neuromas in the lower extremities and hand neuromas, showing pain relief and improved function. Key findings were encouraging, showing successful pain relief, patient satisfaction, and psychosocial improvement, with only rare occurrences of complications such as motor deficits. Conclusions: In non-amputee patients, TMR appears to be a promising option for the surgical management of neuropathic pain, demonstrating favorable patient satisfaction and psychosocial outcomes along with low morbidity rates. Although functional improvements in gait recovery and range of motion are encouraging, further research will be important to confirm and expand upon these findings.
Comparison of ERCP Outcomes and Complication Risk between Elderly and Younger Patients: A Large Single-Center Study
Authors: Cagir Yavuz , Durak Muhammed Bahaddin , Simsek Cem , Yuksel Ilhami
Published: October 2024

Objectives: The current study compared potential risks, complications, and the impact on clinical outcomes among elderly and younger patients undergoing endoscopic retrograde cholangiopancreatography (ERCP). Methods: Procedure-related complications, risk factors, and clinical outcomes following complications in elderly patients (aged ≥75 years) and younger who underwent biliary ERCP were evaluated. Results: Median age of 63 (48–74) of 1164 patients who underwent biliary ERCP for the first time, and 266 (22.8%) were elderly. Comorbidities were statistically significant (81 [30.5%] versus 78 [8.7%], p < 0.001), and periampullary diverticulum (PAD) was detected more commonly in the elderly group (79 [29.7%] vs. 103 [11.5%], p < 0.001). There was no statistical difference in cannulation technique, cannulation time, and cannulation success in both groups, while the total ERCP procedure time was higher in the elderly group (22 [16–29] vs. 20 [14–29], p = 0.030). Regarding the procedure-related complications, there was no statistically significant difference between the two groups (26 [9.8%] vs. 71 [7.9%], p = 0.292). In the case of complications, the length of hospitalization stay was statistically longer in the elderly group. Moreover, the elderly had a longer length of hospitalization, experiencing pancreatitis and a higher probability of developing moderate/severe pancreatitis. In multivariate and univariate analysis, prolonged cannulation time was found to be an independent risk factor in patients ≥75 years of age. Conclusions: This study showed that while ERCP-related complication rates in elderly patients are comparable to younger patients, it can be associated with worse outcomes following the complication and prolonged length of hospitalization.
Real-World Clinical Effectiveness of Liraglutide for Weight Management in Türkiye: Insights from the LIRA-TR Study
Authors: Oral Alihan , Küçük Celalettin , Köse Murat
Published: October 2024

Introduction: Obesity is a complicated chronic disease associated with a series of other conditions. A weight loss of 5–10% has been shown to reduce obesity-related complications and improve quality of life. The efficacy and safety of liraglutide for reducing body weight have been demonstrated in clinical trials. This study evaluated the weight loss efficacy and adverse effects of liraglutide in those with obesity in the Turkish population. Methods: This is a retrospective cohort study; the patients that were included had a body mass index (BMI) of 27 or greater with additional comorbidities or a BMI of 30 or greater, and the patients were prescribed liraglutide for obesity treatment from the tertiary private clinic between January 2022 and January 2024. Their metabolic and anthropometric parameters were recorded at the initial appointment, and their body weight and adverse effects were followed up on during therapy. Results: For the 568 patients, of whom 487 (85.6%) were female, the mean values for age, weight, and BMI were 42.37 ± 10.50, 98.09 ± 17.48 kg, and 35.77 ± 5.45 kg/m2, respectively. Reductions in body weight at the 4th, 8th, 12th, and 24th weeks were 6.45 ± 2.32 kg, 10.66 ± 3.41 kg, 15.38 ± 8.30 kg, and 19 ± 9.06 kg, respectively; reductions in BMI at the 4th, 8th, 12th, and 24th weeks were 2.36 ± 1.00, 3.88 ± 1.25, 5.36 ± 1.76, and 7.09 ± 2.93, respectively; and the percentages of overall body weight loss at the 4th, 8th, 12th, and 24th weeks were 6.62 ± 2.1%, 10.75 ± 2.71%, 14.97 ± 6.8%, and 18.55 ± 4.63%, respectively (all p values < 0.0001). The percentage of patients who lost more than 5% and more than 10% of their initial weight was 100% at the 24th week. The most common side effect was nausea; no pancreatitis was observed. Conclusions: The results of our study indicate that liraglutide is an efficacious and safe treatment option for obesity in the Turkish population, in accordance with the findings from previous research.
Postoperative Outcomes of PreserFlo MicroShunt in Patients with Exfoliation Glaucoma
Authors: Wakuda Hiroyuki , Aoki Ryota , Nakakura Shunsuke
Published: October 2024

Objectives: This study aimed to evaluate the postoperative outcomes of the PreserFlo MicroShunt in Asian patients with exfoliation glaucoma. Methods: We used the Kaplan–Meier method to analyze 29 eyes of 29 patients with exfoliation glaucoma (mean age: 80.7 ± 8.3 years; 16 males; 24 eyes with intraocular lens implants; preoperative intraocular pressure [IOP]: 32.5 ± 9.3 mmHg; preoperative antiglaucoma medications: 3.4 ± 1.0; Asian ethnicity: 100%) who underwent PreserFlo MicroShunt surgery alone at Saneikai Tsukazaki Hospital from November 2022 to November 2023. The criteria for survival were a reduction in IOP of ≥20%, no additional glaucoma surgery, and IOP of 5–21 mmHg (condition 1), 5–18 mmHg (condition 2), and 5–15 mmHg (condition 3). Needling and glaucoma eye drops were considered qualified successes. Results: The mean follow-up period was 27.9 weeks, with a reoperation rate of 31% (9 cases). The complete and qualified success survival rates at 24 weeks were 56%, 52%, and 49%, and 67%, 59%, and 53% for conditions 1–3, respectively. The complete and qualified success survival rates at 48 weeks were 47%, 43%, and 45%, and 52%, 46%, and 48% for conditions 1–3, respectively. Conclusions: The postoperative outcomes of the PreserFlo MicroShunt in Asian patients with exfoliation glaucoma demonstrated an approximate 50% success rate at both 24 and 48 weeks, with a reoperation rate of approximately 30%. Caution is warranted when performing PreserFlo MicroShunt in patients with exfoliation glaucoma.
The Advancement of Appendicitis in Children in the Pre-Pandemic and the Pandemic Year
Authors: Owczarzak Marcin Jerzy , Biela Mateusz , Paplicki Mateusz , Rąpała Małgorzata , Jakubaszko-Jabłońska Joanna , Kozakiewicz Marzena , Miśkiewicz Piotr , Niewińska Kinga , Godzińska Ewa Joanna , Godziński Jan
Published: October 2024

Background: The COVID-19 pandemic affected the health of millions of people, both directly through infection and indirectly through delayed diagnosis and treatment of non-COVID-19 illnesses. The aim of this study was to check the impact of the COVID-19 pandemic on the diagnosis and treatment of appendicitis in children. Methods: The study was carried out at the Department of Paediatric Surgery of the Marciniak Hospital (Wrocław, Poland) and covered two periods, the pre-pandemic one (P1, 01/03/2019–29/02/2020) and the pandemic one (P2, 01/03/2020–28/02/2021). Results: The number of admissions of patients with suspected appendicitis and observation-only patients decreased during the pandemic (400/289 and 226/160, respectively). Although the number of operated children was similar during both analyzed periods (P1: 174, P2: 160), the rate of surgical interventions was significantly higher during P2 (55.4%) than during P1 (43.5%) (χ2 test: p = 0.00272). The values of the variables quantifying disease progression and severity of inflammation, selected inflammation-related parameters detected by laboratory blood tests, latencies from the onset of symptoms to the admission and from the admission to the operation, and total duration of hospitalization did not differ significantly between the pre-pandemic and pandemic periods. Conclusions: These results show that the COVID-19 pandemic led to more rigorous and careful triage of pediatric patients suspected of acute appendicitis that did not have a negative impact on patient outcomes.
Native Valve Infective Endocarditis with Severe Regurgitation: What Matters Is Heart Failure
Authors: Lozano Ibañez Adrián , Pulido Paloma , López Díaz Javier , de Miguel María , Cabezón Gonzalo , Oña Andrea , Zulet Pablo , Jerónimo Adrián , Gómez Daniel , Pinilla-García Daniel , Olmos Carmen , Sáez Carmen , Pérez-Serrano Javier B. , Vilacosta Isidre , Gómez-Salvador Itziar , San Román J. Alberto
Published: October 2024

Background/Objectives: Heart failure worsens the prognosis of patients with infective endocarditis (IE) and is mainly caused by severe valvular regurgitation. The aim of our investigation is to describe the clinical, epidemiological, microbiological, and echocardiographic characteristics of patients with native left-sided infective endocarditis (NLSIE) with severe valvular regurgitation; to describe the prognosis according to the therapeutic approach; and to determine the prognostic factors of in-hospital mortality. Methods: We prospectively recruited all episodes of possible or definite NLSIE diagnosed at three tertiary hospitals between 2005 and 2022. Patients were divided into two groups: patients with severe valvular regurgitation at the time of admission or during hospitalization and patients without severe valvular regurgitation. We analyzed up to 85 variables concerning epidemiological, clinical, analytical, microbiological, and echocardiographic data. Results: We recovered 874 patients with NLSIE, 564 (65%) of them with severe valvular regurgitation. There were no differences in mortality among patients with and without severe regurgitation (30.2% vs. 26.5%, p = 0.223). However, mortality increased when patients with severe regurgitation developed heart failure (33% vs. 11.4%, p < 0.001). Independent factors related to heart failure were age (OR 1.02 [1.01–1.034], p = 0.001), anemia (OR 1.2 [1.18–3.31], p = 0.01), atrial fibrillation (OR 2.3 [1.08–4.89], p = 0.03), S. viridans-related IE (OR 0.47 [0.3–0.73], p = 0.001), and mitroaortic severe regurgitation (OR 2.4 [1.15–5.02], p = 0.019). Conclusions: Severe valvular regurgitation is very frequent among patients with NLSIE, but it does not worsen the prognosis of patients unless complicated with heart failure.
Gynecologic and Obstetric Pathologies from Birth to Menopause: Unveiling the Journey and Charting the Future
Authors: Christopoulos Panagiotis , Tsarna Ermioni
Published: October 2024

Gynecologic and obstetric pathologies encompass a vast array of conditions that affect women’s health throughout their lives [...]
Mapping the Patient Experience in a Pediatric Hemophilia Unit: Our Patient Journey
Authors: Berrueco Rubén , Caballero Nuria , López-Tierling Mónica , Benedicto Cristina , González-Anleo Cristina , Rodríguez-Nieva Natalia , Nadal David , Vinyets Joan , Jabalera Mercedes
Published: October 2024

Background: Hemophilia is a rare X-linked bleeding disorder. Prophylaxis has improved outcomes, but there are still unmet needs to be addressed. The aim of this study was to develop a patient journey in pediatric patients with hemophilia, a visual tool that illustrates patients’ relationship with the healthcare provider through time useful for identifying patient needs, potential concerns (“pain points”), and gaps in care. Methods: qualitative study in a pediatric hemophilia unit using a human-centered design methodology. First stage: discover and empathize: (a) semi-structured interviews to patients/families and stakeholders; (b) observation techniques (“shadowing”) to patients/families and professionals. Second stage: analyzing the collected information to create the patient journey. Results: A preliminary “clinical journey” was built using information from eight interviews with professionals from the interdisciplinary hemophilia team. Interviews with patient association representatives, 13 patients/families, and six “shadowing” techniques with patients and professionals were used to compare the “clinical journey” with the patient’s reported experience. Main “pain points” were detected before diagnosis, at diagnosis, during assimilation, at treatment initiation, during training, and when patients start asking about their condition. The empowerment process was detected as a potential moment to improve patient/family experiences. Conclusions: The patient journey helps to better understand patient/family experiences related to the disease in different scenarios. Caregivers and patient learning and empowerment processes are significant moments where the interdisciplinary team should focus to offer valuable solutions to improve outcomes. Further research is required in this area, particularly empirical research to amend or confirm the suggested patient journey.
Renal Function Is Associated with Changes in Bone Mineral Density in Postmenopausal Osteoporotic Women Treated with Denosumab: Data From a Retrospective Cohort Study
Authors: Catalano Antonino , Oliveri Cecilia , Natale Giuseppe , Agostino Rita Maria , Squadrito Giovanni , Gaudio Agostino , Gembillo Guido , Marina Djordje , Cernaro Valeria , Longhitano Elisa , Basile Giorgio , Morabito Nunziata , Santoro Domenico
Published: October 2024

Background/Objectives: Renal function influences bone metabolism, as kidney failure can increase the risk of fractures. Denosumab is an approved osteoporosis treatment, but its efficacy in relation to renal function has not yet been studied in real-life scenarios. This study aimed to investigate the denosumab-induced change in bone mineral density (BMD) according to kidney function. Methods: A retrospective analysis was conducted at the outpatient clinic in postmenopausal women receiving denosumab (60 mg subcutaneously administered every 6 months). The glomerular filtration rate (eGFR) was measured by the 2021 CKD-EPI equation and patients were stratified for eGFR categories. BMD was measured by dual-energy X-ray absorptiometry. Results: 128 women (mean age 70.3 ± 9.4 years) were recruited. The mean denosumab treatment duration was 3.9 ± 1.4 years and all the participants had improved BMD values. In stepwise multiple regression analysis—after controlling for age, BMI, and treatment duration—the eGFR value (ß = −0.11, SE 0.04, p = 0.01) was independently associated with the lumbar spine BMD change. The same association remained when the eGFR categories were considered (ß = 3.564, SE 1.29, p = 0.007). In addition, after controlling for BMI and the duration of denosumab treatment, age (ß = −0.7915, SE 0.37, p = 0.03) and eGFR (ß = −0.3257, SE 0.1567, p = 0.04) were found to be associated with femoral neck BMD change. The association remained when considering eGFR categories (ß = 8.7339, SE 4.29, p = 0.04). Conclusions: This retrospective study suggests that eGFR is associated with denosumab efficacy in postmenopausal women treated for osteoporosis.
Advancing Clinical Practice: The Potential of Multimodal Technology in Modern Medicine
Authors: Artsi Yaara , Sorin Vera , Glicksberg Benjamin S. , Nadkarni Girish N. , Klang Eyal
Published: October 2024

Multimodal technology is poised to revolutionize clinical practice by integrating artificial intelligence with traditional diagnostic modalities. This evolution traces its roots from Hippocrates’ humoral theory to the use of sophisticated AI-driven platforms that synthesize data across multiple sensory channels. The interplay between historical medical practices and modern technology challenges conventional patient–clinician interactions and redefines diagnostic accuracy. Highlighting applications from neurology to radiology, the potential of multimodal technology emerges, suggesting a future where AI not only supports but enhances human sensory inputs in medical diagnostics. This shift invites the medical community to navigate the ethical, practical, and technological changes reshaping the landscape of clinical medicine.
A New Tool for Extracting Static and Dynamic Parameters from [18F]F-DOPA PET/CT in Pediatric Gliomas
Authors: Mureddu Michele , Funck Thomas , Morana Giovanni , Rossi Andrea , Ramaglia Antonia , Milanaccio Claudia , Verrico Antonio , Bottoni Gianluca , Fiz Francesco , Piccardo Arnoldo , Fato Marco Massimo , Trò Rosella
Published: October 2024

Background/Objectives: PET imaging with [18F]F-DOPA has demonstrated high potential for the evaluation and management of pediatric brain gliomas. Manual extraction of PET parameters is time-consuming, lacks reproducibility, and varies with operator experience. Methods: In this study, we tested whether a semi-automated image processing framework could overcome these limitations. Pediatric patients with available static and/or dynamic [18F]F-DOPA PET studies were evaluated retrospectively. We developed a Python software to automate clinical index calculations, including preprocessing to delineate tumor volumes from structural MRI, accounting for lesions with low [18F]F-DOPA uptake. A total of 73 subjects with treatment-naïve low- and high-grade gliomas, who underwent brain MRI within two weeks of [18F]F-DOPA PET, were included and analyzed. Static analysis was conducted on all subjects, while dynamic analysis was performed on 32 patients. Results: For 68 subjects, the Intraclass Correlation Coefficient for T/S between manual and ground truth segmentation was 0.91. Using our tool, ICC improved to 0.94. Our method demonstrated good reproducibility in extracting static tumor-to-striatum ratio (p = 0.357); however, significant differences were observed in tumor slope (p < 0.05). No significant differences were found in time-to-peak (p = 0.167) and striatum slope (p = 0.36). Conclusions: Our framework aids in analyzing [18F]F-DOPA PET images of pediatric brain tumors by automating clinical score extraction, simplifying segmentation and Time Activity Curve extraction, reducing user variability, and enhancing reproducibility.
The Effect of Acute High-Altitude Exposure on Oral Pathogenic Bacteria and Salivary Oxi-Inflammatory Markers
Authors: Pignatelli Pamela , Mrakic-Sposta Simona , Bondi Danilo , D’Antonio Domenica Lucia , Piattelli Adriano , Santangelo Carmen , Verratti Vittore , Curia Maria Cristina
Published: October 2024

Background: The environment can alter the homeostasis of humans and human microbiota. Oral health is influenced by high altitude through symptoms of periodontitis, barodontalgia, dental barotrauma, and a decrease in salivary flow. Microbiota and inflammatory state are connected in the oral cavity. This study aimed to explore the effect of acute high-altitude exposure on the salivary microbiome and inflammatory indicators. Methods: Fifteen healthy expeditioners were subjected to oral examination, recording the plaque index (PII), gingival index (GI), the simplified oral hygiene index (OHI-S), and the number of teeth; unstimulated saliva samples were collected at an altitude of 1191 m (T1) and 4556 m (T2). TNF-α, sICAM1, ROS, and the oral bacterial species Porphyromonas gingivalis (Pg) and Fusobacterium nucleatum (Fn) were quantified. Results: At T2, slCAM, TNF, and ROS increased by 85.5% (IQR 74%), 84% (IQR 409.25%), and 53.5% (IQR 68%), respectively, while Pg decreased by 92.43% (IQR 102.5%). The decrease in Pg was greater in the presence of low OHI-S. The increase in slCAM1 correlated with the reduction in Fn. Individuals with high GI and OHI-S had a limited increase in TNF-α at T2. Conclusion: Short-term exposures can affect the concentration of pathogenic periodontal bacteria and promote local inflammation.
Adherence to Exercise in People with Lung or Head and Neck Cancer: Self-Reported Symptoms and Motivation During Cancer Treatment Need to Be Considered
Authors: Pedroso Matheus , Grigoletto Isis , Oliveira Letícia , Martins Sarah , Costa Lara , Pozo Karina , Borges Paloma , Regio Livia , Duarte Isabela , Cavalheri Vinicius , Ramos Ercy
Published: October 2024

Objectives: Symptoms and motivation may impact adherence to home-based exercise training programs (HETP) during cancer treatment (CT) for lung or head and neck cancer. This study aimed to identify self-reported symptoms and their frequency, as well as motivation towards an HETP during CT for primary lung or head and neck cancer. Associations between symptoms and motivation with HETP adherence were also investigated. Methods: Participants underwent CT combined with an HETP that included aerobic (walk-based) and resistance training (Theraband®). Weekly assessment was conducted using a questionnaire developed by the researchers, evaluating the presence of symptoms. A scale (0 to 10) was used to assess motivation towards the HETP. Adherence was defined as the ratio between HETP sessions completed vs. the number prescribed. Symptom frequency was recorded as the number of weeks a symptom was experienced. Linear regression was used to explore associations. Results: Twenty-four participants were included (61 ± 7 yr; 21 males; head and neck cancer n = 18; median treatment duration: 9 [7 to 11] weeks). The most commonly reported symptoms were fatigue (33%), malaise (24%) and dysphagia (23%). Average score for motivation to exercise was 6.4 ± 2.0. Adherence to the HETP was 47%. Malaise was associated with reduced adherence to HETP (p = 0.002), explaining 35% of the variance. Motivation was associated with increased adherence (p = 0.008), explaining 28% of the variance. Conclusions: Fatigue, malaise and dysphagia were among the most frequently reported symptoms during treatment. Malaise and self-motivation to exercise can significantly influence adherence to HETPs. Symptom and motivational support might be necessary when implementing HETPs during CT.
Venous Excess Ultrasound Score Is Associated with Worsening Renal Function and Reduced Natriuretic Response in Patients with Acute Heart Failure
Authors: Sovetova Sofya , Charaya Kristina , Erdniev Tamerlan , Shchekochikhin Dmitry , Bogdanova Alexandra , Panov Sergey , Plaksina Natalya , Mutalieva Elmira , Ananicheva Natalia , Fomin Viktor , Andreev Denis
Published: October 2024

Background: The venous excess ultrasound score (VExUS) is used to objectify systemic venous congestion. The aim of the paper was to determine the association between VExUS grades and worsening renal function (WRF), reduced natriuretic response, diuretics resistance, and mortality in patients with acute heart failure (AHF). Methods: One hundred patients were included, and Doppler ultrasound of hepatic, portal, and renal veins was performed. Severity of congestion was graded using the VExUS score (grade 0, 1, 2, or 3). Sodium concentration in a spot urine sample was assessed in 2 h after the first loop diuretic administration and was adjusted for the prescribed dose of furosemide (31 mmol/40 mg). Diuretics resistance was defined as the need to double the starting dose of intravenous furosemide in 6 h. Results: Patients with VExUS grade 3 showed a higher incidence of WRF (OR: 11.17; 95% CI: 3.86–32.29; p < 0.001) and a decreased natriuretic response: a spot urine sodium content of <50 mmol/L (OR: 21.53; 95% CI: 5.32–87.06; p < 0.001) and an adjusted spot urine sodium content of <31 mmol/40 mg (OR: 9.05; 95% CI: 3.15–25.96; p < 0.001). The risk of diuretic resistance (OR: 15.31; 95% CI: 5.05–46.43; p < 0.001), as well as the need for inotropic and/or vasopressor support (OR: 11.82; 95% CI: 3.59–38.92; p < 0.001), was higher in patients with severe congestion. The hospital mortality rate increased in patients with VExUS grade 3 compared to in patients with other grades (OR: 26.4; 95% CI: 5.29–131.55; p < 0.001). Conclusions: Patients with AHF and VExUS grade 3 showed a higher risk of developing WRF, a decreased diuretic and natriuretic response, a need for inotropic and/or vasopressor support, and a poor prognosis during their hospital stay.
Dysmenorrhea in Polish Adolescent Girls: Impact on Physical, Mental, and Social Well-Being—Results from POLKA 18 Study
Authors: Drejza Michalina , Rylewicz Katarzyna , Majcherek Ewa , Barwińska Joanna , Łopiński Grzegorz , Mizgier Małgorzata , Plagens-Rotman Katarzyna , Pisarska-Krawczyk Magdalena , Jarząbek-Bielecka Grażyna , Kędzia Witold
Published: October 2024

Background: Dysmenorrhea, characterised by painful menstrual cramps, is a pressing issue among adolescent girls globally. It significantly impacts their quality of life and has been associated with increased mental health issues and engagement in risky behaviours like smoking. In Poland, there is limited research on menstrual health, emphasising the need for a study to understand dysmenorrhea experiences and their impact on young menstruating individuals. Methods: This research project investigated the effects of dysmenorrhea on quality of life and school attendance, as well as its associations with non-communicable diseases, including mental health among adolescent girls in Poland. Additionally, the study examined risk factors for non-communicable disease development, including high-risk health behaviours and exposure to violence. The study utilised a cross-sectional design, administering self-reported questionnaires in high schools and vocational schools in six voivodeships (regions) in Poland. The analysis was performed using the R language in the Rstudio environment. p-value < 0.05 was considered significant. Results: A significant percentage of respondents experienced heavy menstruation, irregularity, and pain. Adolescents with dysmenorrhea reported higher rates of school absenteeism, mental health issues (such as anxiety and panic attacks), and a higher likelihood of engagement in risk behaviours like smoking and illicit drug use. The study also identified associations between dysmenorrhea and experiences of violence, including sexual abuse and intimate partner violence, as well as links to self-harm and suicidal ideation. Conclusions: These findings contribute to understanding dysmenorrhea among Polish adolescent girls, emphasising the need for tailored interventions and support services. The study underscores the necessity of addressing menstrual health comprehensively, considering its impact on various aspects of young women’s lives and promoting their overall well-being.
A Study on the Degradability and Mechanical–Rheological Correlations of PLA/Silk Composites
Authors: Mansourieh Mohammadreza , Farshbaf Taghinezhad Soheil , Abbasi Amin , Chen Yuanyuan , Devine Declan
Published: October 2024

High-strength biodegradable polymer composites have potential applications in a variety of biomedical applications. This study investigates the influence of silk fiber on the properties of the commonly used biodegradable polylactic acid-based composites, focusing on mechanical, rheological, morphological, and degradation characteristics. Mechanical tests revealed that the addition of 2.5 wt% silk fibers enhanced the ductility of PLA composites, increasing tensile strain at break from 7.39% for pure PLA to 11.51% for the composite. However, higher silk contents (≥10 wt%) resulted in lower elongation at breaks but higher moduli, indicating a trade-off between flexibility and the structural rigidity of the composite. Rheological tests demonstrated that the presence of silk fibers up to 7.5% improved the storage modulus, reflecting better network formation within the PLA matrix. Scanning Electron Microscopy (SEM) photomicrographs illustrated improved fiber dispersion, while higher contents introduced voids and stress concentrations, adversely affecting mechanical properties. Degradation tests in phosphate-buffered saline at 37 °C showed that silk additions slowed PLA degradation, suggesting controlled degradation suitable for biomedical applications. The optimal silk fiber content for balancing mechanical integrity and flexibility was identified to be ca 7.5 wt%, providing insights into the design of PLA/silk composites for enhanced performance in practical applications.
Chemical Synthesis and Characterization of Fatty Acid-Capped ZnO Nanoparticles
Authors: Matei Alina , Stoian Marius , Crăciun Gabriel , Țucureanu Vasilica
Published: October 2024

In the current study, ZnO nanoparticles were obtained using a chemical process employing zinc acetate as the precursor, followed by thermal processing in air. To prevent agglomeration and increase the stability of ZnO nanoparticles, two unsaturated acids (e.g., elaidic acid and linoleic acid) and two saturated acids (e.g., stearic acid and lauric acid) were selected as capping agents. ZnO nanoparticles were investigated before and after surface modification with different fatty acids. Structural and morphological analyses of the samples were performed using FTIR and RAMAN spectroscopy, X-ray diffraction, SEM microscopy, and wetting capacity. Characterization studies revealed that the synthesized ZnO nanoparticles present well-defined crystalline structures, with crystallite sizes varying between 26 and 28 nm, and the average particle size was in the range of 10–55 nm (depending on the type of fatty acids used). The goniometric analysis followed the wetting capacity of the sample surface. The study results reveal that the capping agents have a considerable impact on the surface modification of the nanoparticles by increasing the contact angle. By producing nanoparticles with hydrophobic behavior, there is the possibility of opening up future research for their use in various applications across many industrial fields.
Experimental Investigation of Low-Cost Bamboo Composite (LCBC) Slender Structural Columns in Compression
Authors: Drury Ben , Padfield Cameron , Rajabifard Mona , Mofidi Amir
Published: October 2024

This paper experimentally investigates the behavior of innovative sustainable Low-Cost Bamboo Composite (LCBC) structural columns under compressive loading. The LCBC columns are manufactured from bamboo culms in combination with bio-based resins to form composite structural columns. Different LCBC cross-sectional configurations are investigated in this study, including the Russian doll (RD), Big Russian doll (BRD), Hawser (HAW), and Scrimber (SCR). Two bio-based resins, including one bio-epoxies and one furan-based resin, in addition to a soft bio-based filler and a synthetic epoxy resin, are applied. The bamboo species used as the cast-in-place giant bamboo for all configurations include Moso, Guadua, and Tali. Slender LCBC columns showed maximum stress equal to 60 MPa at failure. The study found that the samples with bio-epoxy resin (BE2) exhibited enhanced material stiffness when compared to synthetic epoxy (EPX) and furan-based resin (PF1), while PF1 specimens demonstrated increased ductility. Among the specimens with Moso bamboo and BE2 resin, those with SCR and HAW configurations achieved the highest compressive strengths.
A pH-Responsive Ti-Based Local Drug Delivery System for Osteosarcoma Therapy
Authors: Xiao Qinle , Wan Changjun , Zhang Zhe , Liu Hui , Liu Pingting , Huang Qianli , Zhao Dapeng
Published: October 2024

Osteosarcoma is one of the major bone cancers, especially for youngsters. The current treatment usually requires systemic chemotherapy and the removal of bone tumors. Titanium (Ti)-based implants can be modified as local drug delivery (LDD) systems for controllable and localized chemotherapeutic drug release. In this work, a pH-responsive Ti-based LDD prototype was designed by introducing polydopamine (PDA) to release doxorubicin (DOX) around osteosarcoma cells with low pH. Fourier transform infrared spectroscopy (FTIR), scanning electron microscopy (SEM), and a contact angle meter were applied for surface characterization. Both direct and indirect cell culture modes were performed for biocompatibility and biofunction assessments. The results indicate that the Ti-based LDD prototype exhibits significant pH-dependent DOX release. The cumulative release can reach up to approximately 40% at pH = 6.0 after 72 h, but only around 20% at pH = 7.4. The Ti-based LDD implant shows good biocompatibility with approximately 93% viability of MC3T3 cells after direct culture in vitro for 24 h. Both direct and indirect culture modes verify the good anti-osteosarcoma function of the LDD implant, which should be attributed to the pH-responsive release of DOX.
Relationship Between Frequency of Physical Activity, Functional Mobility, and Self-Perceived Health in People with Different Levels of Pain: A Cross-Sectional Study
Authors: Denche-Zamorano Ángel , Salas-Gómez Diana , Barrios-Fernandez Sabina , Tomás-Carus Pablo , Adsuar José Carmelo , Parraca Jose A.
Published: October 2024

Background: Habits including regular physical activity are necessary for maintaining good health. Functional mobility, including walking and going up and down stairs, is essential for personal autonomy and well-being. Pain is a condition related to biological and psychosocial aspects that influence people’s lives. Objective: The main objectives of this study were (1) to analyse the associations between physical activity frequency (PAF) and self-perceived health (SPH) and functional mobility (walking and going up and down stairs) in middle-aged and older people living in Spain with different pain levels; and (2) to analyse the risk factors for having a negative SPH and functional mobility difficulties by calculating the probabilistic risks adjusted by different variables (sex, body mass index, social class, civil status, smoking status, pain level, and PAF). Methods: A cross-sectional study based on the European Health Survey data in Spain (EHSS 2014-2020) and The Spanish National Health Survey (SNHS 2017) was carried out, with a final sample of 21,152 participants with ages between 40 and 79 years. Results: Associations between high pain levels and worse SPH and difficulties in walking and climbing stairs were found. Lower PAF levels were associated with higher-probability risks of having a negative SPH and difficulties in walking and climbing stairs. Conclusions: Physical inactivity emerged as an important risk factor for worse SPH and functional mobility. These associations underline the importance that PA programmes can play in the improvement of health and functional mobility, as well as in other aspects, in people with pain.
An Updated Analysis of Long-Term Sea Level Change in China Seas and Their Adjacent Ocean with T/P: Jason-1/2/3 from 1993 to 2022
Authors: Wu Lingling , Yuan Jiajia , Wu Zhendong , Hu Liyu , Zhang Jiaojiao , Sun Jianpin
Published: October 2024

This study analyzes sea level changes (SLCs) in China seas and their adjacent ocean (CSO) using data from the TOPEX/Poseidon and Jason-1/2/3 satellite altimetry missions from 1993 to 2022. A 30-year time series of sea level anomalies (SLAs) is established, with trends, spatial distribution, and periodicities analyzed through least squares linear fitting, Kriging interpolation, and wavelet analysis. The average yearly sea level rise in the CSO is 3.87 mm, with specific rates of 4.15 mm/yr in the Bohai Sea, 3.96 mm/yr in the Yellow Sea, 3.54 mm/yr in the East China Sea, and 4.09 mm/yr in the South China Sea. This study examines the spatiotemporal variations in SLAs and identifies an annual primary cycle, along with a new periodicity of 11 years. Utilizing 30 years of satellite observation data, particularly the newer Jason-3 satellite data, this reanalysis reveals new findings related to cycles. Overall, the research updates previous studies and provides valuable insights for further investigations into China’s marine environment.
Numerical Study on Evaluation of Environmental DNA Approach for Estimating Fish Abundance and Distribution in Semi-Enclosed Bay
Authors: Park Seongsik , Yoon Seokjin , Kim Kyunghoi
Published: October 2024

Despite efforts to use environmental DNA (eDNA), accurately quantifying fish populations remains a challenge. A recent eDNA approach provided reliable estimates of coastal fish population abundance, but it was not as effective for assessing spatial distribution due to a lack of eDNA samples relative to the study area. Therefore, we conducted a numerical case study to evaluate the ability of the eDNA approach to estimate fish (Jack mackerel) abundance and distribution based on the number of eDNA samples in a semi-enclosed bay (Jinhae Bay). Our study revealed that the eDNA approach can provide reliable estimates of fish abundance, even with knowledge of the eDNA concentration in just 1% of the study area. However, for estimating spatial distribution and fish school, significant estimates were obtained only when the eDNA concentration was identified in more than 70% of the study area. Our results confirm that the eDNA approach can reflect fish abundance but has limitations in estimating fish distribution.
Characterization of a High-Affinity Copper Transporter CTR1a in the White-Nose Syndrome Causing Fungal Pathogen Pseudogymnoascus destructans
Authors: Anne Saika , Friudenberg Alyssa D. , Peterson Ryan L.
Published: October 2024

Copper is an essential micronutrient and the ability to scavenge tightly bound or trace levels of copper ions at the host–pathogen interface is vital for fungal proliferation in animal hosts. Recent studies suggest that trace metal ion acquisition is critical for the establishment and propagation of Pseudogymnoascus destructans, the fungal pathogen responsible for white-nose syndrome (WNS), on their bat host. However, little is known about these metal acquisition pathways in P. destructans. In this study, we report the characterization of the P. destructans high-affinity copper transporter VC83_00191 (PdCTR1a), which is implicated as a virulence factor associated with the WNS disease state. Using Saccharomyces cerevisiae as a recombinant expression host, we find that PdCTR1a can efficiently traffic Cu ions into the yeast cytoplasm. Complementary studies in the native P. destructans fungus provide evidence that PdCTR1a transcripts and protein levels are dictated by Cu-bioavailability in the growth media. Our study demonstrates that PdCTR1a is a functional high-affinity copper transporter and is relevant to Cu homeostasis pathways in P. destructans.
Time–Frequency Co-Movement of South African Asset Markets: Evidence from an MGARCH-ADCC Wavelet Analysis
Authors: Moodley Fabian , Ferreira-Schenk Sune , Matlhaku Kago
Published: October 2024

The growing prominence of generating a well-diversified portfolio by holding securities from multi-asset markets has, over the years, drawn criticism. Various financial market events have caused asset markets to co-move, especially in emerging markets, which reduces portfolio diversification and enhances return losses. Consequently, this study examines the time–frequency co-movement of multi-asset classes in South Africa by using the Multivariate Generalized Autoregressive Conditional Heteroscedastic–Asymmetrical Dynamic Conditional Correlation (MGARCH-DCC) model, Maximal Overlap Discrete Wavelet Transformation (MODWT), and the Continuous Wavelet Transform (WTC) for the period 2007 to 2024. The findings demonstrate that the equity–bond, equity–property, equity–gold, bond–property, bond–gold, and property–gold markets depict asymmetrical time-varying correlations. Moreover, correlation in these asset pairs varies at investment periods (short-term, medium-term, and long-term), with historical events such as the 2007/2008 Global Financial Crisis (GFC) and the COVID-19 pandemic causing these asset pairs to co-move at different investment periods, which reduces diversification properties. The findings suggest that South African multi-asset markets co-move, affecting the diversification properties of holding multi-asset classes in a portfolio at different investment periods. Consequently, investors should consider the holding periods of each asset market pair in a portfolio as they dictate the level of portfolio diversification. Investors should also remember that there are lead–lag relationships and risk transmission between asset market pairs, enhancing portfolio volatility. This study assists investors in making more informed investment decisions and identifying optimal entry or exit points within South African multi-asset markets.
Language Management in Transnational Multilingual Families: Generation 1.5 Parents in Finland
Authors: Bloch Gali
Published: October 2024

In today’s globalized world, more children are born to parents who speak two or more languages between them. These families manage complex language dynamics, with diverse language practices influencing communication among family members. The complexity intensifies when multilingual and multicultural parents move with their children to a country with a new majority language, while keeping connections to their original society. In such cases, balancing heritage and host country languages affects both cultural preservation and integration into a new society. Based on semi-structured interviews with seven Generation 1.5 Russian–Hebrew bilingual parents living in Finland, this paper explores their strategies for managing their children’s multilingual development. The study poses two key questions: What are the language management strategies reported by the parents? What are the major challenges these parents face in maintaining heritage Russian and Hebrew languages in Finland? Thematic data analysis using ATLAS.ti software highlights the parents’ persistent commitment to maintaining multilingualism within their families, focusing on preserving existing social connections and fostering new ones for the entire family. The findings reveal key aspects of parental language management, parental involvement and home environments, along with reported challenges, both personal and institutional, in maintaining Hebrew and Russian as heritage languages in Finland. This study offers a new perspective on language management strategies in multilingual families, handling a less-explored language combination. By analyzing individual language management approaches, this study reveals common strategies used to support multilingualism and balance heritage languages with those of a new environment, thereby contributing to discussions on linguistic diversity and multicultural integration in transnational settings.