bluuebunny/crossref_metadata_2025 huggingface dataset:
An Accurate Platform for Investigating TCP Performance in Wi-Fi Networks
Authors: Aoyagi Shunji , Horie Yuki , Thi Thu Hien Do , Duc Ngo Thanh , Le Duy-Dinh , Nguyen Kien , Sekiya Hiroo
Published: July 2023

An increasing number of devices are connecting to the Internet via Wi-Fi networks, ranging from mobile phones to Internet of Things (IoT) devices. Moreover, Wi-Fi technology has undergone gradual development, with various standards and implementations. In a Wi-Fi network, a Wi-Fi client typically uses the Transmission Control Protocol (TCP) for its applications. Hence, it is essential to understand and quantify the TCP performance in such an environment. This work presents an emulator-based approach for investigating the TCP performance in Wi-Fi networks in a time- and cost-efficient manner. We introduce a new platform, which leverages the Mininet-WiFi emulator to construct various Wi-Fi networks for investigation while considering actual TCP implementations. The platform uniquely includes tools and scripts to assess TCP performance in the Wi-Fi networks quickly. First, to confirm the accuracy of our platform, we compare the emulated results to the results in a real Wi-Fi network, where the bufferbloat problem may occur. The two results are not only similar but also usable for finding the bufferbloat condition under different methods of TCP congestion control. Second, we conduct a similar evaluation in scenarios with the Wi-Fi link as a bottleneck and those with varying signal strengths. Third, we use the platform to compare the fairness performance of TCP congestion control algorithms in a Wi-Fi network with multiple clients. The results show the efficiency and convenience of our platform in recognizing TCP behaviors.
Theoretical Analysis of Riboflavin Adsorption on Hexagonal Boron Nitride for Drug Delivery Applications: Unveiling the Influence of Point Defects
Authors: Antipina Liubov Yu. , Kotyakova Kristina Yu. , Sorokin Pavel B.
Published: July 2023

This research delves into the intriguing realm of investigating the stability of vitamin B2 (riboflavin, Rf) on hexagonal boron nitride (h-BN), both in its pristine state and in the presence of vacancy defects, with the aim of harnessing their potential as carriers for drug delivery applications. Employing the density functional theory (DFT), we perform binding energy calculations and analyze the electronic structure of the BN@Rf system to unravel the nature of their interactions. Our comprehensive DFT calculations unequivocally demonstrate the spontaneous physical sorption of the drug onto the h-BN surface, facilitated by the formation of π-π stacking interactions. The adsorption energy spans a range from −1.15 to −4.00 eV per system, emphasizing the robust nature of the BN@Rf bonding. The results show that the HOMO and LUMO of riboflavin are located exactly in the region of the iso-alloxazine rings of riboflavin. This arrangement fosters the formation of π-π stacking between riboflavin and boron nitride, effectively facilitating the transfer of electron density within the BN@Rf system. Furthermore, our investigations reveal the significant impact of vacancy defects within the boron nitride lattice. These vacancies alter the behavior of the structure, prompting riboflavin to metamorphose from an electron donor to an electron acceptor, expanding our understanding of the interplay between boron nitride defects and riboflavin sorption. Therefore, it is imperative to exert meticulous oversight of the structural integrity of h-BN, given that the existence of vacancies may lead to a noticeable change in its adsorption properties. The obtained data could amplify our capacity to conceive and refine drug delivery h-BN-based systems.
Creatine Kinase MB Isoenzyme Is a Complementary Biomarker in Amyotrophic Lateral Sclerosis
Authors: Kittipeerapat Natsinee , Fabian Rachel , Bernsen Sarah , Weydt Patrick , Castro-Gomez Sergio
Published: July 2023

Amyotrophic lateral sclerosis (ALS) is an invariably fatal neurodegenerative disease with limited therapeutic options. There is an urgent need for novel biomarkers to be used as surrogates for new therapeutic trials and disease monitoring. In this study, we sought to systematically study creatine kinase isoenzyme MB (CK-MB) in a real-world cohort of ALS patients, assess the diagnostic performance, and evaluate its association with other laboratory and clinical parameters. We reviewed data from 194 consecutive patients that included 130 ALS patients and 64 disease control patients (primary lateral sclerosis [PLS], benign fasciculations syndrome [BFS], Huntington’s disease [HD] and Alzheimer’s disease [AD]). CK-MB was elevated in the sera of more than half of all patients with ALS. In patients with spinal-onset ALS, CK-MB levels were significantly higher than in patients with other neurodegenerative diseases. Patients with slower rates of functional decline had a significantly higher baseline CK-MB. Furthermore, CK-MB elevations correlated with cardiac troponin T (cTnT) and with revised ALS Functional Rating Scale (ALSFRS-R) bulbar subcategory. We posit that measuring CK-MB in ALS patients in a complimentary fashion could potentially aid in the diagnostic workup of ALS and help discriminate the disease from some ALS mimics and other neurodegenerative diseases. CK-MB levels also may provide valuable prognostic information regarding disease aggressiveness as well as correlations with specific phenotypic presentations.
Investigation of the Effects of Metallic Nanoparticles on Fertility Outcomes and Endocrine Modification of the Hypothalamic-Pituitary-Gonadal Axis
Authors: Sogorb Miguel A. , Candela Héctor , Estévez Jorge , Vilanova Eugenio
Published: July 2023

Nanotechnology is a very disruptive twenty-first-century revolution that will allow social and economic welfare to increase although it also involves a significant human exposure to nanoparticles. The aim of the present study was to contribute to the elucidation on whether metallic nanoparticles have a potential to induce fertility impairments. Regulatory studies that observed official OECD guidelines 415, 416 and 422 have failed to detect any fertility alterations caused by nanoparticle exposure. However, the scientific literature provides evidence that some nanoparticles may cause gonad impairments although the actual impact on fertility remains uncertain. This aim of the present study is to revisit the previously published RNAseq studies by analyzing the effects of several nanoparticles on the transcriptome of T98G human glioblastoma cells given that glial cells are known to play a pivotal role in the regulation of gonadotropin releasing hormone neurons. We found evidence that nanoparticles impair the gonadotropin releasing hormone receptor pathway and several related biological process like, among others, the cellular response to follicular stimulating hormone, cellular response to gonadotropin stimulus, cellular response to hormone stimulus, response to steroid hormone, ovulation cycle and response to estradiol. We propose that nanoparticles interfere with the ability of glial cells to regulate gonadotropin-releasing hormone neurons and, subsequently, the hypothalamic-pituitary-gonadal axis, potentially leading to fertility impairments. To our knowledge, this is the first proposal of a mode of action based on endocrine disruption for explaining the possible effects of nanoparticles on fertility. Whether these finding can be extended to other types of nanoparticles requires further investigation.
NARX Technique to Predict Torque in Internal Combustion Engines
Authors: Ricci Federico , Petrucci Luca , Mariani Francesco , Grimaldi Carlo Nazareno
Published: July 2023

To carry out increasingly sophisticated checks, which comply with international regulations and stringent constraints, on-board computational systems are called upon to manipulate a growing number of variables, provided by an ever-increasing number of real and virtual sensors. The optimization phase of an ICE passes through the control of these numerous variables, which often exhibit rapidly changing trends over time. On the one hand, the amount of data to be processed, with narrow cyclical frequencies, entails ever more powerful computational equipment. On the other hand, computational strategies and techniques are required which allow actuation times that are useful for timely and optimized control. In the automotive industry, the ‘machine learning’ approach is becoming one the most used approaches to perform forecasting activities with reduced computational effort, due to both its cost-effectiveness and its simple and compact structure. In the present work, the nonlinear dynamic system we address is related to the torque estimation of an ICE through a nonlinear autoregressive with exogenous inputs (NARX) approach. Preliminary activities were performed to optimize the neural network in terms of neurons, hidden layers, and the number of input parameters to be assessed. A Shapley sensitivity analysis allowed quantification of the impact of each variable on the target prediction, and therefore, a reduction in the amount of data to be processed by the architecture. In all cases analyzed, the optimized structure was able to achieve average percentage errors on the target prediction that were always lower than a critical threshold of 10%. In particular, when the dataset was augmented or the analyzed cases merged, the architecture achieved average prediction errors of about 1%, highlighting its remarkable ability to reproduce the target with fidelity.
Comparative Morphology of Wax Gland Heads in Adult Dustywings (Insecta: Neuroptera: Coniopterygidae)
Authors: Li Min , Oswald John D. , Liu Zhiqi
Published: July 2023

In the largest comparative study of coniopterygid wax gland head morphology to date, we used scanning electron microscopy to illustrate the ultrastructure of gland heads found in 2 subfamilies (Aleuropteryginae and Coniopteryginae), 5 tribes (Aleuropterygini, Coniocompsini, Coniopterygini, Conwentziini, and Fontenelleini), 9 genera (Aleuropteryx, Coniopteryx, Coniocompsa, Conwentzia, Cryptoscenea, Heteroconis, Semidalis, Spiloconis, and Thecosemidalis), and 28 species of Palearctic and Oriental dustywings collected from a variety of sites across China. We propose a new descriptive terminology to concisely characterize the major elements of gland head ultrastructure and then identify similarities and differences among them and provide detailed descriptions of the wax gland heads found in each of the nine genera examined. Based on the range of taxa examined, we propose hypotheses about the functional morphology of some of the ultrastructural elements examined and relate them to wax ring formation in dustywings. An identification key for the examined genera based on gland head morphology is also presented.
Limb–Girdle Muscular Dystrophies Classification and Therapies
Authors: Bouchard Camille , Tremblay Jacques P.
Published: July 2023

Limb–girdle muscular dystrophies (LGMDs) are caused by mutations in multiple genes. This review article presents 39 genes associated with LGMDs. Some forms are inherited in a dominant fashion, while for others this occurs recessively. The classification of LGMDs has evolved through time. Lately, to be considered an LGMD, the mutation has to cause a predominant proximal muscle weakness and must be found in two or more unrelated families. This article also presents therapies for LGMDs, examining both available treatments and those in development. For now, only symptomatic treatments are available for patients. The goal is now to solve the problem at the root of LGMDs instead of treating each symptom individually. In the last decade, multiple other potential treatments were developed and studied, such as stem-cell transplantation, exon skipping, gene delivery, RNAi, and gene editing.
Nonsurgical Repair of the Ascending Aorta: Why Less Is More
Authors: Yuan Xun , Kan Xiaoxin , Dong Zhihui , Xu Xiao Yun , Nienaber Christoph A.
Published: July 2023

Objective: Advanced endovascular options for acute and chronic pathology of the ascending aorta are emerging; however, several problems with stent grafts placed in the ascending aorta have been identified in patients unsuitable for surgical repair, such as migration and erosion at aorta interface. Method: Among the six cases analysed in this report, three were treated with a stent graft in the ascending aorta to manage chronic dissection in the proximal aorta; dimensions of those stent grafts varied between 34 and 45 mm in diameter, and from 77 to 100 mm in length. Three patients, matched by age, sex and their nature of pathology, were subjected to the focal closure of a single communicating entry by the use of an occluding device (Amplatzer ASD and PFO occluders between 14 and 18 mm disc diameter) with similar Charlson comorbidity score. Results: Both conceptually different nonsurgical management strategies were technically feasible; however, with stent grafts, an early or delayed erosion to full re-dissection was documented with stent grafts, in contrast to complete seal, with an induced remodelling and a long-term survival after the successful placing of coils and occluder devices. Moreover, aortic root motion was not impaired by the focal occlusion of a communication with an occluder, while free motion was impeded after stent graft placement. Conclusions: The intriguing observation in our small series was that stent grafts placed in the ascending aorta portends the risk of an either early (post-procedural) or delayed migration and erosion of aortic tissues at the landing site or biological interface between 12 and 16 months after the procedure, a phenomenon not seen with the use of focal occluding devices up to 5 years of follow-up. Obviously, the focal approach avoids the erosion of the aortic wall as the result of minimal interaction with the biological interface, such as a diseased aortic wall. Potential explanations may be related to a reduced motion of the aortic root after the placement of stent graft in the ascending aorta, whereas the free motion of aortic root was preserved with an occluder. The causality of erosion may however not be fully understood, as besides the stiffness and radial force of the stent graft, other factors such as the induced inflammatory reactions of aortic tissue and local adhesions within the chest may also play a role. With stent grafts failing to portend long-term success, they may still have a role as a temporizing solution for elective surgical conversion. Larger datasets from registries are needed to further explore this evolving field of interventions to the ascending aorta.
Temporomandibular Joint Disorders: Functional and Conservative Treatment
Authors: Vaira Luigi Angelo , De Riu Giacomo
Published: July 2023

Temporomandibular joint disorders (TMDs) represent a group of conditions that cause pain and dysfunction in the joints and muscles responsible for jaw movement [...]
Reply to Lemans et al. Comment on “Burgos et al. Fusionless All-Pedicle Screws for Posterior Deformity Correction in AIS Immature Patients Permit the Restoration of Normal Vertebral Morphology and Removal of the Instrumentation Once Bone Maturity Is Reached. J. Clin. Med. 2023, 12, 2408”
Authors: Burgos Jesús , Mariscal Gonzalo , Antón-Rodrigálvarez Luis Miguel , Sanpera Ignacio , Hevia Eduardo , García Vicente , Barrios Carlos
Published: July 2023

We thank Dr. Lemans and coworkers for their interest and knowledgeable comments [...]
The Pupil Knows: Pupil Dilation Indexes and Their Inhibitory Ability in Normal Aging
Authors: El Haj Mohamad , Boutoleau-Bretonnière Claire , Chapelet Guillaume
Published: July 2023

Pupil dilation is considered an index of cognitive effort, as the pupil typically dilates as the cognitive load increases. In this paper, we evaluated whether older adults demonstrate increased pupil size when performing tasks requiring cognitive inhibition. We invited 44 older and 44 younger adults to perform the Stroop task while their pupil dilation was recorded with eye-tracking glasses. The dependent variables were the number of accurate responses on the Stroop task as well as pupil size in the three conditions of the task (i.e., color naming, word reading, and the interference condition). The results demonstrated less accurate responses in the interference condition than in the color-naming or word-reading conditions, in both older and younger adults. Critically, larger pupil dilation was observed in the interference condition than in the color-naming and word-reading conditions, in both older and younger adults. This study demonstrates that pupil dilation responds to cognitive effort in normal aging, at least in the interference condition of the Stroop task.
Spontaneous Abdominal Wall Hematoma Treated with Percutaneous Transarterial Embolization: Diagnostic Findings, Procedural Outcome, and Efficacy—A Multicenter Study
Authors: Tiralongo Francesco , Giurazza Francesco , Di Pietro Stefano , Lucatelli Pierleone , Mosconi Cristina , Contegiacomo Andrea , Vacirca Francesco , Ciaglia Simone , Cocozza Maria Adriana , Castiglione Davide Giuseppe , Falsaperla Daniele , Ini’ Corrado , Zanghì Guido Nicola , Granata Antonio , Venturini Massimo , Basile Antonio
Published: July 2023

Endovascular management of abdominal wall hematomas (AWHs) is now the primary treatment option in hemodynamically stable patients, and it is often preferred to surgical interventions. The purpose of this multicentric study was to assess the safety, technical, and clinical success of percutaneous transarterial embolization (PTAE) of spontaneous AWHs to evaluate the efficacy of blind or empiric embolization compared to targeted embolization and to compare the outcome of the endovascular treatment approach in patients affected by COVID-19 and non-COVID-19 patients. We retrospectively enrolled 112 patients with spontaneous AWHs who underwent PTAE, focusing on signs of bleeding at pre-procedural CTA and DSA. Patients were separated into two groups depending on whether a blind or targeted embolization approach was used. We also divided patients into COVID-19 and non-COVID-19 groups. The mean age of the study population was 68.6 ± 15.8 years. CTA and DSA revealed signs of active bleeding in 99 and 88 patients, respectively. In 21 patients, blind embolization was performed. The overall technical success rate was 99%. Clinical success was obtained in 96 patients (86%), while 16 (14%) re-bled within 96 h. One patient reported a major peri-procedural complication. The comparison between blind and targeted embolization approaches showed no statistically significant differences in the characteristics of groups and technical and clinical success rates. No significant differences were found in the procedural outcome between COVID-19 and non-COVID-19 groups. Our study confirmed that PTAE is effective for treating spontaneous AWHs, even in COVID-19 patients. It suggests that the efficacy and safety of blind embolization are comparable to targeted embolization.
Identification of Pacemaker Lead Position Using Fluoroscopy to Avoid Significant Tricuspid Regurgitation
Authors: Hanafy Dicky A. , Soesanto Amiliana M. , Setianto Budhi , Immanuel Suzanna , Raharjo Sunu B. , Herqutanto  , Amir Muzakkir , Yuniadi Yoga
Published: July 2023

Permanent pacemaker implantation improves survival but can cause tricuspid valve dysfunction in the form of tricuspid regurgitation (TR). The dominant mechanism of pacemaker-mediated TR is lead impingement. This study evaluated the association between the location of the pacemaker leads crossing the tricuspid valve and the incidence of worsening TR and lead impingement using fluoroscopy. Lead positions were evaluated using perpendicular right anterior oblique (RAO) and parallel left anterior oblique (LAO) fluoroscopic angulation views of the tricuspid annulus. A two-dimensional transthoracic echocardiogram (TTE) was performed to evaluate the maximum TR jet area-to-right atrium ratio and define regurgitation severity. A three-dimensional TTE was performed to evaluate lead impingement. A worsening of TR was observed in 23 of 82 subjects. Most leads had an inferior position in the RAO view and a septal position in the LAO view. The mid position in the RAO view and septal position in the LAO view were risk factors for lead impingement. Mid and septal positions were associated with higher risks of significant TR and lead impingement. Lead impingement was associated with a high risk of significant TR. Pacemaker-mediated TR remains a significant problem after lead implantation.
Impact of T Lymphocytes Isolated from Liver Perfusate of Deceased Brain Donors on Kidney Transplantation: Preliminary Evidence and Future Directions
Authors: Pagano Duilio , Badami Ester , Zito Giovanni , Conaldi Pier Giulio , Vella Ivan , Buscemi Barbara , Amico Giandomenico , Busà Rosalia , Salis Paola , Li Petri Sergio , di Francesco Fabrizio , Calamia Sergio , Bonsignore Pasquale , Tropea Alessandro , Accardo Caterina , Piazza Salvatore , Gruttadauria Salvatore
Published: July 2023

Background: Ischemia/reperfusion injury (IRI), acute rejection (AR), and delayed graft function (DGF) might occur as major complications following kidney transplantation. Thus, the identification of biomarkers for the IRI, AR, and/or DGF development becomes crucial as it may help to guide post-transplant management. Natural killer (NK) cells, hepatic interstitial T-lymphocytes (T-Li), and NK-T cells are crucial in both innate and adaptive immunity after abdominal solid organ transplantation. Hence, the aim of this study was to evaluate the impact of the immune system after graft reperfusion during KT in adults in order to identify predictive biomarkers. Methods: The NK, T-Li, and NK-T phenotypes and concentrations were retrospectively analyzed in a consecutive series of liver perfusates obtained after organ procurement flushing the abdominal cavity recovered from deceased brain donors (DBDs). Their percentage was compared with the renal transplant recipients’ characteristics with kidneys taken from the same DCDs. The hepatic perfusate cells were purified by density gradient centrifugation. Flow cytometric investigation was used to determine their phenotype with the following immunological markers in order to determine the relative percentage of T-Li, NK-T, and NK cells: CD3, CD4, CD8, and CD56. Results: 42 DBDs’ liver perfusates were analyzed. The related clinical outcomes of kidney transplant recipients from 2010 to 2020 performed at our Institute were evaluated. Time in days of delayed functional recovery of transplanted kidneys (DGF) (p = 0.02) and the onset of secondary infection from a cytomegalovirus (p = 0.03) were significantly associated with the T-Li percentage. An increased relative risk (HR) of organ survival was significantly associated with the percent cell concentration of T-Li and time to DGF, on COX analysis, were (HR = 1.038, p = 0.04; and HR = 1.029, p = 0.01, respectively). None relevant clinical outcomes in kidney transplant patients were associated with the specificity of the NK and NK-T cell proportions. Conclusions: A new potential role of T-Li cells was detected in the context of hepatic perfusate from DBDs. It could detect potential impacts in organ allocation, surgical procuring techniques, and in the analysis of IRI pathophysiological events.
Redo-TAVR: Essential Concepts, Updated Data and Current Gaps in Evidence
Authors: Galhardo Attílio , Avvedimento Marisa , Mengi Siddhartha , Rodés-Cabau Josep
Published: July 2023

Within the last two decades, transcatheter aortic valve replacement (TAVR) has transformed the treatment strategy for symptomatic severe aortic stenosis (AS), representing a less invasive alternative to traditional open-chest surgery. With time, advances in device features, imaging planning, and implantation techniques have contributed to an improvement in safety as well as a reduction in procedural complications. This has led to the expansion of TAVR to lower-risk patients, where TAVR has shown favorable outcomes compared to surgical aortic valve replacement (SAVR). As TAVR expands to younger and lower-risk patients with longer life expectancies, the need for reintervention for failing transcatheter heart valves is expected to increase. Redo-TAVR has gained increasing relevance in the lifetime management of AS as one of the treatment strategies available for structural valve dysfunction (SVD). However, some issues are associated with this approach, including coronary re-access and the risk of coronary obstruction. In this review, we provide essential concepts to properly select candidates for Redo-TAVR, updated data on clinical outcomes and complication rates, and current gaps in evidence.
Non-Hormonal Contraception
Authors: Howard Sarah Anne , Benhabbour Soumya Rahima
Published: July 2023

While hormonal contraceptives are efficacious and available in several forms for women, perception of safety and concern over side effects are a deterrent for many. Existing non-hormonal contraceptives include permanent sterilization, copper intrauterine devices (IUDs), chemical/physical barriers such as spermicides and condoms, as well as traditional family planning methods including withdrawal and the rhythm method. Individuals who wish to retain their fertility in the future can achieve highest adherence and efficacy with long-acting, reversible contraceptives (LARCs), though there is only one, the copper IUD, that is non-hormonal. As rates of unintended pregnancies remain high with existing contraceptive options, it is becoming increasingly attractive to develop novel pregnancy prevention methods for both women and men. Non-hormonal contraceptives can target a variety of critical reproductive processes discussed here. This review focuses on identified non-hormonal contraceptive targets and subsequent drug candidates in development.
Cardiometabolic Profile, Physical Activity, and Quality of Life in Breast Cancer Survivors after Different Physical Exercise Protocols: A 34-Month Follow-Up Study
Authors: Bucciarelli Valentina , Bianco Francesco , Di Blasio Andrea , Morano Teresa , Tuosto Desiree , Mucedola Francesco , Di Santo Serena , Cimini Alessandra , Napolitano Giorgio , Bucci Ines , Di Baldassarre Angela , Cianchetti Ettore , Gallina Sabina
Published: July 2023

Background: Breast cancer (BC) and cardiovascular (CV) disease share many risk factors associated with worse outcomes, in terms of cancer relapse, CV events, and quality of life (QoL), that could be counteracted by physical exercise (PE). We aimed to assess the impact of a 12-week differential PE protocol on cardiometabolic profile, QoL, CV- and BC-related long-term outcomes, and physical activity (PA) in a cohort of BC survivors (BCS) not treated with chemotherapy. Methods: 57 BCS participated in a 12-week PE protocol [aerobic exercise training (AET) or resistance exercise training (RET)]. Anthropometric and CV evaluation, health-related (HR)-QoL, daily PA, cortisol, and dehydroepiandrosterone sulfate (DHEA-S) levels were assessed before (T0) and after (T1) PE. We assessed BC and CV outcomes, HR-QoL, CV-QoL, and PA at the follow-up. Results: RET improved waist circumference, DHEA-S, cortisol/DHEA-S, systolic and mean blood pressure, and ventricular/arterial coupling; AET ameliorated sagittal abdomen diameter and pulse wave velocity. Regarding HR-QoL, physical function improved only in AET group. At a mean 34 ± 3.6-month follow-up, we documented no significant differences in CV-QoL, HR-QoL, and PA or CV and BC outcomes. Conclusions: AET and RET determine specific, positive adaptations on many parameters strongly related to CV risk, CV and BC outcomes, and QoL, and should be included in any cardio-oncology rehabilitation program.
Identification of a Novel Variant in Myelin Regulatory Growth Factor by Next-Generation Sequencing Led to the Detection of a Clinically Inapparent Congenital Heart Defect in a Patient with a 46,XY Disorder of Sex Development
Authors: Correa Brito Lourdes , Grinspon Romina P. , Lopez Dacal Jimena , Scaglia Paula , Esnaola Azcoiti María , Izquierdo Agustín , Ropelato María Gabriela , Rey Rodolfo A.
Published: July 2023

In patients with 46,XY disorders of sex development (DSDs), next-generation sequencing (NGS) has high diagnostic efficiency. One contribution to this diagnostic approach is the possibility of applying reverse phenotyping when a variant in a gene associated with multiple organ hits is found. Our aim is to report a case of a patient with 46,XY DSDs in whom the identification of a novel variant in MYRF led to the detection of a clinically inapparent congenital heart defect. A full-term newborn presented with ambiguous genitalia, as follows: a 2 cm phallus, penoscrotal hypospadias, partially fused labioscrotal folds, an anogenital distance of 1.2 cm, and non-palpable gonads. The karyotype was 46,XY, serum testosterone and AMH were low, whereas LH and FSH were high, leading to the diagnosis of dysgenetic DSD. Whole exome sequencing identified a novel, heterozygous, nonsense variant in MYRF, classified as pathogenic according to the ACMG criteria. MYRF encodes a membrane-bound transcriptional factor expressed in several tissues associated with OCUGS syndrome (ophthalmic, cardiac, and urogenital anomalies). In the patient, oriented clinical assessment ruled out ophthalmic defects, but ultrasonography confirmed meso/dextrocardia. We report a novel MYRF variant in a patient with 46,XY DSDs, allowing us to identify a clinically inapparent congenital heart defect by reverse phenotyping.
Distributed Ledger as a Service: A Web 3.0-Oriented Architecture
Authors: Chiti Francesco , Gandini Giorgio
Published: July 2023

This paper proposes a general and interoperable Web of Things (WoT)-oriented architecture to support a distributed storage application. In particular, the focus is on a distributed ledger service dedicated to machine-to-machine (M2M) transactions occurring in an intelligent ecosystem. For this purpose, the basic functional modules have been characterized and integrated into a comprehensive framework relying on an IOTA approach. Furthermore, a general protocol that is built upon an underlying publish-and-subscribe framework is proposed to support all the application phases. The proposed approach has been validated by a simulation campaign targeting the achievable latency and throughput and, further, by a qualitative analysis of high-level metrics, both pointing out several advantages in terms of interoperability, scalability, and mobility support, together with addressing some constraints affecting service availability and security.
Radiotherapy-Induced Atrial Myxoma: A Case Report and Literature Review
Authors: Shalata Walid , Massalha Ismaell , Ishay Shlomo Yaron , Chernomordikova Elena , Jama Ashraf Abu , Rouvinov Keren , Dudnik Yulia , Yakobson Alexander
Published: July 2023

In this particular case study, we present a 66-year-old male who was diagnosed with an atrial myxoma eight years after receiving treatment for non-small cell lung cancer. The patient underwent chemo-radiotherapy (mediastinal area) in 2012 to address stage III-A adenocarcinoma of the lung. During follow-up imaging in 2020, a left atrial mass displaying characteristic features of a cardiac myxoma was detected. Upon reviewing a computed tomographic (CT) scan from 2017 within the previously irradiated mediastinal region, the cardiac mass was retrospectively identified. The surgical excision of the cardiac mass was performed, and a subsequent pathological examination confirmed the diagnosis of myxoma. To the best of our knowledge, this is the first reported case of a left atrial myxoma in a patient previously treated for adenocarcinoma of the lung and the first instance of an atrial myxoma occurring in a site that had undergone prior radiation therapy.
Evaluation of Antioxidant Activity, Cytotoxicity, and Genotoxicity of Ptychotis verticillata Essential Oil: Towards Novel Breast Cancer Therapeutics
Authors: Taibi Mohamed , Elbouzidi Amine , Ouahhoud Sabir , Loukili El Hassania , Ou-Yahya Douâae , Ouahabi Safae , Alqahtani Ali S. , Noman Omar M. , Addi Mohamed , Bellaouchi Reda , Asehraou Abdeslam , Saalaoui Ennouamane , Guerrouj Bouchra , Chaabane Khalid
Published: July 2023

Breast cancer is a disease characterized by the uncontrolled proliferation of malignant cells in breast tissue, and oxidative stress activated by an accumulation of reactive oxygen species (ROS) is associated with its development and progression. Essential oils from medicinal plants, known for their antioxidant and therapeutic properties, are being explored as alternatives. Ptychotis verticillata, also known as Nûnkha, is a medicinal plant native to Morocco, belonging to the Apiaceae family, and used for generations in traditional medicine. This study focuses on the phytochemical characterization of P. verticillata essential oil (PVEO) from the province of Oujda, Morocco, for its therapeutic properties. The essential oil was obtained by hydro-distillation, and its volatile components were analyzed by gas chromatography-mass spectrometry (GC-MS). The results revealed the presence of various aromatic and terpene compounds, with carvacrol being the most abundant compound. PVEO showed antioxidant properties in several tests, including β-carotene bleaching, 2,2-diphenyl-1-picrylhydrazyl (DPPH) scavenging and total antioxidant capacity (TAC). It also demonstrated cytotoxicity against MCF-7 and MDA-MB-231 breast cancer cell lines, with higher selectivity for MDA-MB-231. The results reveal that Ptychotis verticillata essential oil (PVEO) could be a promising natural alternative for the treatment of breast cancer,
A Review of the Potential Benefits of Herbal Medicines, Small Molecules of Natural Sources, and Supplements for Health Promotion in Lupus Conditions
Authors: Pasdaran Ardalan , Hassani Bahareh , Tavakoli Ali , Kozuharova Ekaterina , Hamedi Azadeh
Published: July 2023

The Latin word lupus, meaning wolf, was in the medical literature prior to the 1200s to describe skin lesions that devour flesh, and the resources available to physicians to help people were limited. The present text reviews the ethnobotanical and pharmacological aspects of medicinal plants and purified molecules from natural sources with efficacy against lupus conditions. Among these molecules are artemisinin and its derivatives, antroquinonol, baicalin, curcumin, emodin, mangiferin, salvianolic acid A, triptolide, the total glycosides of paeony (TGP), and other supplements such as fatty acids and vitamins. In addition, medicinal plants, herbal remedies, mushrooms, and fungi that have been investigated for their effects on different lupus conditions through clinical trials, in vivo, in vitro, or in silico studies are reviewed. A special emphasis was placed on clinical trials, active phytochemicals, and their mechanisms of action. This review can be helpful for researchers in designing new goal-oriented studies. It can also help practitioners gain insight into recent updates on supplements that might help patients suffering from lupus conditions.
Pediatric Obesity: Complications and Current Day Management
Authors: Vajravelu Mary Ellen , Tas Emir , Arslanian Silva
Published: July 2023

Obesity affects approximately 1 in 5 youth globally and increases the risk of complications during adolescence and young adulthood, including type 2 diabetes, dyslipidemia, hypertension, non-alcoholic fatty liver disease, obstructive sleep apnea, and polycystic ovary syndrome. Children and adolescents with obesity frequently experience weight stigma and have an impaired quality of life, which may exacerbate weight gain. Pediatric obesity is typically defined using sex-, age-, and population-specific body mass index percentiles. Once identified, pediatric obesity should always be managed with lifestyle modification. However, adolescents with obesity may also benefit from anti-obesity medications (AOM), several of which have been approved for use in adolescents by the US Food and Drug Administration, including liraglutide, phentermine/topiramate, and semaglutide. For children with specific, rare monogenic obesity disorders, setmelanotide is available and may lead to significant weight loss. Metabolic and bariatric surgery may be used for the management of severe obesity in youth; though highly effective, it is limited to specialized centers and has had relatively low pediatric uptake. In this narrative review using pediatric-focused data from original research, reviews, clinical practice guidelines, governmental agencies, and pharmaceutical companies, we review obesity-related metabolic complications in youth and management strategies, including AOM and bariatric surgery.
A Data-Driven Approach to Estimate the Power Loss and Thermal Behaviour of Cylindrical Gearboxes under Transient Operating Conditions
Authors: Autiero Matteo , Cirelli Marco , Paoli Giovanni , Valentini Pier Paolo
Published: July 2023

This paper proposes an innovative methodology to estimate the thermal behaviour of the cylindrical gearbox system, considering, as a thermal source, the power loss calculated under transient operating conditions. The power loss of the system in transient conditions is computed through several approaches: a partial elasto-hydrodynamic lubrication model (EHL) is adopted to estimate the friction coefficients of the gears, while analytical and semiempirical models are used to compute other power loss sources. Furthermore, considering a limited set of operating condition points as a training set, a reduced-order model for the evaluation of the power loss based on a neural network is developed. Using this method, it is possible to simulate thermal behaviour with high accuracy through a thermal network approach in all steady-state and transient operating conditions, reducing computational time. The results obtained by means of the proposed method have been compared and validated with the experimental results available in the literature. This methodology has been tested with the FZG rig test gearbox but can be extended to any transmission layout to predict the overall efficiency and component temperatures with a low computational burden.
[μ-1,2-Bis(dipheylphosphino)ethane-κ2P,P’]bis(3-mercapto-1,2-propanediolato-κS-gold(I))
Authors: Baba Taichi , Yoshinari Nobuto
Published: July 2023

A new dinuclear gold(I) complex, possessing a bridging diphosphine ligand (1,2-bis(diphenylphosphino)ethane) and two terminal thiol ligands (1-thioglycerol), was synthesized and fully characterized by IR, 1H and 31P NMR, fluorescence, ESI-mass, and diffuse reflection spectroscopy, together with X-ray diffraction and elemental analyses. The compound formed a 1D chain supramolecular structure through intermolecular aurophilic interactions in the crystal structure, leading to photoluminescence in the solid state.
The Influence of Various Adhesive Systems and Polishing Methods on Enamel Surface Roughness after Debonding of Orthodontic Brackets: A Three-Dimensional In Vitro Evaluation
Authors: Křivková Tereza , Tichý Antonín , Tycová Hana , Kučera Josef
Published: July 2023

A slight alteration of the enamel surface is inevitable upon debonding of orthodontic brackets, adhesive removal, and finishing/polishing. The aim of this in vitro study was to compare two adhesives and three polishing methods by measuring enamel surface roughness using confocal laser scanning microscopy (CLSM). Brackets were bonded on 42 extracted human premolars using Transbond XT (Transbond group) or Fuji Ortho (Fuji group). After debracketing, adhesives were removed with a tungsten carbide bur, and surfaces were polished using Sof-Lex discs, a rotary brush with a prophylactic paste (Depural), or a prophylactic cup with two polishing pastes (n = 7 in each subgroup). Surface roughness (Sa, Sku, Sq, and Sz) was measured using CLSM and compared before treatment (T1), after debracketing and adhesive removal (T2), and after polishing (T3). The data were statistically analyzed using the Mann–Whitney U and Kruskal–Wallis tests with Bonferroni correction. The time required for adhesive removal was measured and compared using a two-sample t-test. Surface roughness at T2 increased compared to T1, but the difference was significant only for the Fuji group (p < 0.01). The time required to remove Transbond XT (94.1 ± 6.8 s) was significantly higher compared to Fuji (72.1 ± 5.9 s, p < 0.0001). Polishing with Sof-Lex discs resulted in lower surface roughness compared to T1 (p = 0.018). Using Depural and polishing pastes showed no significant difference in surface roughness compared to T1, except for a significant decrease in Sa and Sq for Transbond (p = 0.043) and in Sku for Fuji (p = 0.018) after polishing with Depural. In conclusion, the removal of Transbond took significantly longer, but there were fewer residues of composite resin on the enamel surface. Sof-Lex discs decreased enamel roughness, whereas enamel morphology and roughness were similar to the pre-treatment state after polishing with polishing pastes.
Strategies to Enhance the Membrane-Based Processing Performance for Fruit Juice Production: A Review
Authors: Katibi Kamil Kayode , Mohd Nor Mohd Zuhair , Yunos Khairul Faezah Md. , Jaafar Juhana , Show Pau Loke
Published: July 2023

Fruit juice is an essential food product that has received significant acceptance among consumers. Harmonized concentration, preservation of nutritional constituents, and heat-responsive sensorial of fruit juices are demanding topics in food processing. Membrane separation is a promising technology to concentrate juice at minimal pressure and temperatures with excellent potential application in food industries from an economical, stable, and standard operation view. Microfiltration (MF) and ultrafiltration (UF) have also interested fruit industries owing to the increasing demand for reduced pressure-driven membranes. UF and MF membranes are widely applied in concentrating, clarifying, and purifying various edible products. However, the rising challenge in membrane technology is the fouling propensity which undermines the membrane’s performance and lifespan. This review succinctly provides a clear and innovative view of the various controlling factors that could undermine the membrane performance during fruit juice clarification and concentration regarding its selectivity and permeance. In this article, various strategies for mitigating fouling anomalies during fruit juice processing using membranes, along with research opportunities, have been discussed. This concise review is anticipated to inspire a new research platform for developing an integrated approach for the next-generation membrane processes for efficient fruit juice clarification.
Silicon Micromachined TSVs for Backside Interconnection of Ultra-Small Pressure Sensors
Authors: Feng Weiwen , Li Peng , Zhang Haozhi , Sun Ke , Li Wei , Wang Jiachou , Yang Heng , Li Xinxin
Published: July 2023

This paper presents an ultra-small absolute pressure sensor with a silicon-micromachined TSV backside interconnection for high-performance, high spatial resolution contact pressure sensing, including flexible-substrate applications. By exploiting silicon-micromachined TSVs that are compatibly fabricated with the pressure sensor, the sensing signals are emitted from the chip backside, thereby eliminating the fragile leads on the front-side. Such a design achieves a flat and fully passivated top surface to protect the sensor from mechanical damage, for reliable direct-contact pressure sensing. A single-crystal silicon beam–island structure is designed to reduce the deflection of the pressure-sensing diaphragm and improve output linearity. Using our group-developed microholes interetch and sealing (MIS) micromachining technique, we fabricated ultra-small piezoresistive pressure sensors with the chip size as small as 0.4 mm × 0.6 mm, in which the polysilicon-micromachined TSVs transfer the signal interconnection from the front-side to the backside of the wafer, and the sensor chips can be densely packaged on the flexible substrate via the TSVs. The ultra-small pressure sensor has high sensitivity of 0.84 mV/kPa under 3.3 V of supply voltage and low nonlinearity of ±0.09% full scale (FS) in the measurement range of 120 kPa. The proposed pressure sensors with backside-interconnection TSVs hold promise for tactile sensing applications, including flexible sensing of wearable wristwatches.
Epidermal Wearable Biosensors for the Continuous Monitoring of Biomarkers of Chronic Disease in Interstitial Fluid
Authors: Yuan Xichen , Ouaskioud Oumaima , Yin Xu , Li Chen , Ma Pengyi , Yang Yang , Yang Peng-Fei , Xie Li , Ren Li
Published: July 2023

Healthcare technology has allowed individuals to monitor and track various physiological and biological parameters. With the growing trend of the use of the internet of things and big data, wearable biosensors have shown great potential in gaining access to the human body, and providing additional functionality to analyze physiological and biochemical information, which has led to a better personalized and more efficient healthcare. In this review, we summarize the biomarkers in interstitial fluid, introduce and explain the extraction methods for interstitial fluid, and discuss the application of epidermal wearable biosensors for the continuous monitoring of markers in clinical biology. In addition, the current needs, development prospects and challenges are briefly discussed.
Comprehensive Investigation of Constant Voltage Stress Time-Dependent Breakdown and Cycle-to-Breakdown Reliability in Y-Doped and Si-Doped HfO2 Metal-Ferroelectric-Metal Memory
Authors: Chang Ting-Yu , Wang Kuan-Chi , Liu Hsien-Yang , Hseun Jing-Hua , Peng Wei-Cheng , Ronchi Nicolò , Celano Umberto , Banerjee Kaustuv , Van Houdt Jan , Wu Tian-Li
Published: July 2023

In this study, we comprehensively investigate the constant voltage stress (CVS) time-dependent breakdown and cycle-to-breakdown while considering metal-ferroelectric-metal (MFM) memory, which has distinct domain sizes induced by different doping species, i.e., Yttrium (Y) (Sample A) and Silicon (Si) (Sample B). Firstly, Y-doped and Si-doped HfO2 MFM devices exhibit domain sizes of 5.64 nm and 12.47 nm, respectively. Secondly, Si-doped HfO2 MFM devices (Sample B) have better CVS time-dependent breakdown and cycle-to-breakdown stability than Y-doped HfO2 MFM devices (Sample A). Therefore, a larger domain size showing higher extrapolated voltage under CVS time-dependent breakdown and cycle-to-breakdown evaluations was observed, indicating that the domain size crucially impacts the stability of MFM memory.
Colloidal Quantum Dot Nanolithography: Direct Patterning via Electron Beam Lithography
Authors: Ko Taewoo , Kumar Samir , Shin Sanghoon , Seo Dongmin , Seo Sungkyu
Published: July 2023

Micro/nano patterns based on quantum dots (QDs) are of great interest for applications ranging from electronics to photonics to sensing devices for biomedical purposes. Several patterning methods have been developed, but all lack the precision and reproducibility required to fabricate precise, complex patterns of less than one micrometer in size, or require specialized crosslinking ligands, limiting their application. In this study, we present a novel approach to directly pattern QD nanopatterns by electron beam lithography using commercially available colloidal QDs without additional modifications. We have successfully generated reliable dot and line QD patterns with dimensions as small as 140 nm. In addition, we have shown that using a 10 nm SiO2 spacer layer on a 50 nm Au layer substrate can double the fluorescence intensity compared to QDs on the Au layer without SiO2. This method takes advantage of traditional nanolithography without the need for a resist layer.