bluuebunny/crossref_metadata_2025 huggingface dataset:
Non-selective beta-blockers and the incidence of hepatocellular carcinoma in patients with cirrhosis: a meta-analysis
Authors: He Xinyi , Zhao Zimo , Jiang Xi , Sun Yan
Published: July 2023

Background: Hepatocellular carcinoma (HCC) is a serious complication of cirrhosis. Currently, non-selective beta-blockers (NSBBs) are commonly used to treat portal hypertension in patients with cirrhosis. The latest research shows that NSBBs can induce apoptosis and S-phase arrest in liver cancer cells and inhibit the development of hepatic vascular endothelial cells, which may be effective in preventing HCC in cirrhosis patients.

Aim: To determine the relationship between different NSBBs and HCC incidence in patients with cirrhosis.

Methods: We searched the Cochrane database, MEDLINE, EMBASE, PubMed, and Web of Science. Cohort studies, case‒control studies, and randomized controlled trials were included if they involved cirrhosis patients who were divided into an experimental group using NSBBs and a control group with any intervention. Based on heterogeneity, we calculated odds ratio (OR) and 95% confidence interval (CI) using random-effect models. We also conducted subgroup analysis to explore the source of heterogeneity. Sensitivity analysis and publication bias detection were performed.

Results: A total of 47 studies included 38 reporting HCC incidence, 26 reporting HCC-related mortality, and 39 reporting overall mortality. The HCC incidence between the experimental group and the control group was OR = 0.87 (0.69 and 1.10), p = 0.000, and I2 = 81.8%. There was no significant association between propranolol (OR = 0.94 and 95%CI 0.62–1.44) or timolol (OR = 1.32 and 95%CI 0.44–3.95) and HCC incidence, while the risk of HCC decreased by 26% and 38% with nadolol (OR = 0.74 and 95%CI 0.64–0.86) and carvedilol (OR = 0.62 and 95%CI 0.52–0.74), respectively.

Conclusion: Different types of NSBB have different effects on the incidence of patients with cirrhosis of the liver, where nadolol and carvedilol can reduce the risk. Also, the effect of NSBBs may vary in ethnicity. Propranolol can reduce HCC incidence in Europe and America.

Systematic Review Registration: identifier https://CRD42023434175, https://www.crd.york.ac.uk/PROSPERO/.
Cavity ring-down spectroscopy with a laser frequency stabilized and locked to a reference target gas absorption for drift-free accurate gas sensing measurements
Authors: Liu Ying , He Yabai , Hu Mai , Chen Bing , Xu Zhenyu , Yao Lu , Wang Xingping , Kan Ruifeng
Published: July 2023

A new gas sensor system with fast response and ultra-high sensitivity has been developed based on a combination of frequency modulation spectroscopy (FMS) and cavity ring-down spectroscopy (CRDS). The system consisted of two distributed feedback laser diodes (DFB-LDs) emitting at frequencies 6251.761 cm-1 (Laser-1) and 6257.762 cm-1 (Laser-2), respectively. A portion of Laser-1’s output was used by a frequency modulation spectroscopy technique to lock its frequency precisely at a CO2 absorption peak, while the rest of its output was coupled to an optical ring-down cavity, together with the Laser-2 output. The Laser-2 operated at a non-absorbing frequency for real-time correction of any baseline ring-down time drift caused by environmental changes (e.g., temperature, pressure). Laser frequency stabilization achieved a 5-fold improvement in CRDS detection sensitivity. This new system was able to make measurements at a data rate of 9 Hz. Based on Allan deviation analysis, the absorbance detection limit of the system was 4.4 × 10−11 cm-1 at an optimum averaging time of ∼5 s, whereas the time-normalized sensitivity at 1 s was 7.3 × 10−11 cm-1/Hz1/2. Measurements of atmospheric CO2 mole fraction were conducted and demonstrated its good performance and reliability. This sensor will be particularly suitable for making drift-free measurements over long periods, in the fields of environmental and industrial gas sensing.
Acetic acid positively modulates proline metabolism for mitigating PEG-mediated drought stress in Maize and Arabidopsis
Authors: Mahmud Sakil , Kamruzzaman Mohammad , Bhattacharyya Sabarna , Alharbi Khadiga , Abd El Moneim Diaa , Mostofa Mohammad Golam
Published: July 2023

Introduction

Osmotic imbalance is one of the major consequences of drought stress, negatively affecting plant growth and productivity. Acetic acid has modulatory roles in osmotic balance in plants; however, the mechanistic insights into acetic acid-mediated osmotic adjustment under drought stress remains largely unknown.

Methods

Here, we investigated how seed priming and seedling root treatment with acetic acid enabled maize plants overcoming polyethylene glycol (PEG)-induced drought effects.

Results

Maize seeds primed with acetic acid showed better growth performance when compared with unprimed seeds under PEG application. This growth performance was mainly attributed to improved growth traits, such as fresh weight, dry weight, length of shoots and roots, and several leaf spectral indices, including normalized difference vegetation index (NDVI) and chlorophyll absorption in reflectance index (MCARI). The levels of oxidative stress indicators hydrogen peroxide (H2O2) and malondialdehyde (MDA) did not alter significantly among the treatments, but proline content as well as the expression of proline biosynthetic gene, Δ1-PYRROLINE-5-CARBOXYLATE SYNTHETASE 1 (P5CS1) was significantly elevated in plants receiving acetic acid under PEG-treatments. On the other hand, treating the seedlings root with acetic acid led to a significant recovery of maize plants from drought-induced wilting. Although growth traits remained unchanged among the treatments, the enhancement of leaf water content, photosynthetic rate, proline level, expression of P5CS1, and antioxidant enzyme activities along with reduced level of H2O2 and MDA in acetic acid-supplemented drought plants indicated a positive regulatory role of acetic acid in maize tolerance to drought. Moreover, the high expression of P5CS1 and the subsequent elevation of proline level upon acetic acid application were further validated using wild type and proline biosynthetic mutant p5cs1 of Arabidopsis. Results showed that acetic acid application enabled wild type plants to maintain better phenotypic appearance and recovery from drought stress than p5cs1 plants, suggesting a crosstalk between acetic acid and proline metabolism in plants under drought stress.

Discussion

Our results highlight the molecular and intrinsic mechanisms of acetic acid conferring plant tolerance to drought stress.
Effects of physical activity combined with different visual target presentation durations of ciliary-muscle training on visual acuity in children
Authors: Zhou Sheng , Zhang Meng , Zheng Wenbin , Yin Rongbin , Chen Gang
Published: July 2023

Purpose

This study aimed to identify the effect of different durations of visual target presentation during ciliary-muscle training on children's kinetic visual acuity (KVA), uncorrected distance visual acuity (UDVA), axial length, and accommodative facility.

Methods

Based on the ciliary-muscle regulation mechanism, an intervention program involving ciliary-muscle training with different durations of visual target presentation combined with physical education classes was designed. The intervention aimed to determine the effect of different ciliary-muscle training durations on children's visual acuity. A total of 153 children aged 10–11 years from a school in Suzhou (a major city located in southeastern Jiangsu Province, East China) were enrolled as participants in this 32-week intervention study. This study measured the participants' UDVA and KVA before, during (after the 16th week), and after (after the 32nd week) the experimental intervention. The accommodative facility was measured during and after the intervention.

Results

After 32 weeks of the intervention, the KVA and UDVA of each experimental group were significantly improved (p < 0.05). A high percentage in the improvement of KVA was observed in the 3-s and 1-s groups (25.53%, 21.74%), and the highest percentage in the improvement of UDVA was observed in the 3-s group (2.96%). Axial length increased significantly in all groups (p < 0.05), and there was a low percentage increase in the 1-s and 3-s groups (0.82%). The accommodative facility was significantly improved in all experimental groups, with a higher improvement percentage in the 3-s and 1-s groups (3.01% and 2.61%, respectively). After dividing the children in each group according to their visual acuity, the KVA of children in the 1-s group was significantly improved, the UDVA of children with myopia was significantly increased, and the accommodative facility of children with mild and moderate myopia was significantly improved. Moreover, the KVA, UDVA, and accommodative facility of children with mild and moderate myopia in the 3-s group were significantly improved. The KVA of children with emmetropia and the accommodative facility of children with mild and moderate myopia in the 5-s group were also significantly increased.

Conclusion

In school physical education classes, the 1-s, 3-s, and 5-s ciliary-muscle regulating exercise could effectively improve the kinetic visual acuity, uncorrected distance visual acuity, and accommodative facility of children aged 10–11 years. Among them, the effects of the 1-s and 3-s durations are better than that of the 5-s duration, as it can reduce the growth rate of axial length and achieve better effects among children with mild and moderate myopia.
Using human-in-the-loop optimization for guiding manual prosthesis adjustments: a proof-of-concept study
Authors: Senatore Siena C. , Takahashi Kota Z. , Malcolm Philippe
Published: July 2023

Introduction: Human-in-the-loop optimization algorithms have proven useful in optimizing complex interactive problems, such as the interaction between humans and robotic exoskeletons. Specifically, this methodology has been proven valid for reducing metabolic cost while wearing robotic exoskeletons. However, many prostheses and orthoses still consist of passive elements that require manual adjustments of settings.

Methods: In the present study, we investigated if human-in-the-loop algorithms could guide faster manual adjustments in a procedure similar to fitting a prosthesis. Eight healthy participants wore a prosthesis simulator and walked on a treadmill at 0.8 ms−1 under 16 combinations of shoe heel height and pylon height. A human-in-the-loop optimization algorithm was used to find an optimal combination for reducing the loading rate on the limb contralateral to the prosthesis simulator. To evaluate the performance of the optimization algorithm, we used a convergence criterium. We evaluated the accuracy by comparing it against the optimum from a full sweep of all combinations.

Results: In five out of the eight participants, the human-in-the-loop optimization reduced the time taken to find an optimal combination; however, in three participants, the human-in-the-loop optimization either converged by the last iteration or did not converge.

Discussion: Findings from this study show that the human-in-the-loop methodology could be helpful in tasks that require manually adjusting an assistive device, such as optimizing an unpowered prosthesis. However, further research is needed to achieve robust performance and evaluate applicability in persons with amputation wearing an actual prosthesis.
Designing virtual reality exposure scenarios to treat anxiety in people with epilepsy: Phase 2 of the AnxEpiVR clinical trial
Authors: Lewis-Fung Samantha , Tchao Danielle , Gray Hannah Gabrielle , Nguyen Emma , Pardini Susanna , Harris Laurence R. , Calabia Dale , Appel Lora
Published: July 2023

Introduction: Anxiety in people with epilepsy (PwE) is characterized by distinct features related to having the condition and thus requires tailored treatment. Although virtual reality (VR) exposure therapy is widely-used to treat a number of anxiety disorders, its use has not yet been explored in people with epilepsy. The AnxEpiVR study is a three-phase pilot trial that represents the first effort to design and evaluate the feasibility of VR exposure therapy to treat epilepsy-specific interictal anxiety. This paper describes the results of the design phase (Phase 2) where we created a minimum viable product of VR exposure scenarios to be tested with PwE in Phase 3.

Methods: Phase 2 employed participatory design methods and hybrid (online and in-person) focus groups involving people with lived experience (n = 5) to design the VR exposure therapy program. 360-degree video was chosen as the medium and scenes were filmed using the Ricoh Theta Z1 360-degree camera.

Results: Our minimum viable product includes three exposure scenarios: (A) Social Scene—Dinner Party, (B) Public Setting—Subway, and (C) Public Setting—Shopping Mall. Each scenario contains seven 5-minute scenes of varying intensity, from which a subset may be chosen and ordered to create a customized hierarchy based on appropriateness to the individual’s specific fears. Our collaborators with lived experience who tested the product considered the exposure therapy program to 1) be safe for PwE, 2) have a high level of fidelity and 3) be appropriate for treating a broad range of fears related to epilepsy/seizures.

Discussion: We were able to show that 360-degree videos are capable of achieving a realistic, immersive experience for the user without requiring extensive technical training for the designer. Strengths and limitations using 360-degree video for designing exposure scenarios for PwE are described, along with future directions for testing and refining the product.
The Effect of Berry Consumption on Oxidative Stress Biomarkers: A Systematic Review of Randomized Controlled Trials in Humans
Authors: Stote Kim S. , Burns Gracie , Mears Kim , Sweeney Marva , Blanton Cynthia
Published: July 2023

Bioactive compounds in berries may scavenge reactive oxygen and nitrogen species by donating electrons to free radicals, thereby protecting DNA, proteins, and lipids from oxidative damage. Evidence shows that berry consumption has beneficial health effects, though it remains unclear whether berries exert a significant impact on oxidative stress in humans. Thus, we performed a systematic review of randomized controlled trials (RCT) to examine the effects of non-acute (more than a single dose and ≥7 days) berry consumption on biomarkers of oxidative stress. Searches were conducted in PubMed, Cochrane Library, and Scopus; results were imported into Covidence for screening and data extraction. The literature search identified 622 studies that were screened, and 131 full-text studies assessed for eligibility. Ultimately, 28 RCTs met the eligibility criteria. Common biomarkers of oxidative stress (antioxidants, DNA damage, isoprostanes, malondialdehyde, and oxidized LDL) were systematically reviewed, and results were reported narratively. Of the approximate 56 oxidative stress biomarkers evaluated in the 28 RCTs, 32% of the biomarkers were reported to have statistically significant beneficial results and 68% of the biomarkers were reported as having no statistically significant differences. More well-designed and longer-term berry RCTs are needed to evaluate biomarkers of oxidative stress.
A Review on the Involvement of Heat Shock Proteins (Extrinsic Chaperones) in Response to Stress Conditions in Aquatic Organisms
Authors: Jeyachandran Sivakamavalli , Chellapandian Hethesh , Park Kiyun , Kwak Ihn-Sil
Published: July 2023

Heat shock proteins (HSPs) encompass both extrinsic chaperones and stress proteins. These proteins, with molecular weights ranging from 14 to 120 kDa, are conserved across all living organisms and are expressed in response to stress. The upregulation of specific genes triggers the synthesis of HSPs, facilitated by the interaction between heat shock factors and gene promoter regions. Notably, HSPs function as chaperones or helper molecules in various cellular processes involving lipids and proteins, and their upregulation is not limited to heat-induced stress but also occurs in response to anoxia, acidosis, hypoxia, toxins, ischemia, protein breakdown, and microbial infection. HSPs play a vital role in regulating protein synthesis in cells. They assist in the folding and assembly of other cellular proteins, primarily through HSP families such as HSP70 and HSP90. Additionally, the process of the folding, translocation, and aggregation of proteins is governed by the dynamic partitioning facilitated by HSPs throughout the cell. Beyond their involvement in protein metabolism, HSPs also exert a significant influence on apoptosis, the immune system, and various characteristics of inflammation. The immunity of aquatic organisms, including shrimp, fish, and shellfish, relies heavily on the development of inflammation, as well as non-specific and specific immune responses to viral and bacterial infections. Recent advancements in aquatic research have demonstrated that the HSP levels in populations of fish, shrimp, and shellfish can be increased through non-traumatic means such as water or oral administration of HSP stimulants, exogenous HSPs, and heat induction. These methods have proven useful in reducing physical stress and trauma, while also facilitating sustainable husbandry practices such as vaccination and transportation, thereby offering health benefits. Hence, the present review discusses the importance of HSPs in different tissues in aquatic organisms (fish, shrimp), and their expression levels during pathogen invasion; this gives new insights into the significance of HSPs in invertebrates.
Bio-Assay-Guided Isolation of Fractions and Constituents with Antioxidant and Lipid-lowering Activity from Allium cepa
Authors: Fan Kongming , Li Yan , Fu Qiaofeng , Wang Jinmin , Lin Yong , Qiu Linyu , Ran Li , Yang Junli , Yang Chunyan
Published: July 2023

Active fractions and constituents with antioxidant and lipid-lowering activities were investigated using bio-assay-guided isolation and identification. The data showed that the antioxidant fraction of A. cepa was AC50%, the main constituents of which were quercetin and isoquercitrin, by way of both ultra-high performance liquid chromatography–mass spectrometry (UPLC-MS) and bio-assay-guided purification and elucidation. Similarly, the lipid-lowering active fraction of A. cepa was AC30% with the main constituents of 3,4-dihydroxybenzoic acid and quercetin 3,4′-O-diglucoside. Also, bio-assay-guided isolation led to the isolation and identification of five known compounds with a purity of more than 98%, and quercetin was both the best free radical scavenger and lipid-lowering constituent. Moreover, the mechanism of the lipid-lowering effect of AC30% might be its reduction in mRNA expression levels of sterol regulatory element binding protein 2 (SREBP2) and FAS gene in lipid synthesis. Otherwise, reducing the mRNA expression level of lipid synthesis genes, including SREBP1, SREBP2, fatty acid synthetase (FASN), β-Hydroxy β-methylglutaryl-CoA (HMGCR), stearoyl CoA desaturase 1 (SCD1), and increasing the mRNA expression level of lipid decomposition gene, such as carnitine palmitoyl transferease-1 (CPT1), might be involved in the lipid-lowering activity of quercetin. This study suggested that Allium cepa might be used to prevent and treat oxidative stress and dislipidemia-related disorders, including NAFLD.
Cyber-Physical Cloud Battery Management Systems: Review of Security Aspects
Authors: Naseri Farshid , Kazemi Zahra , Larsen Peter Gorm , Arefi Mohammad Mehdi , Schaltz Erik
Published: July 2023

Battery management systems (BMSs) are critical to ensure the efficiency and safety of high-power battery energy storage systems (BESSs) in vehicular and stationary applications. Recently, the proliferation of battery big data and cloud computing advancements has led to the development of a new generation of BMSs, named Cloud BMS (CBMS), aiming to improve the performance and safety of BESSs. The CBMS is a cyber-physical system with connectivity between the physical BMS and a cloud-based virtual BMS, which is realized through a communication channel such as Internet of Things. Compared to the traditional BMS, the CBMS offers significantly higher computational resources, leveraging the implementation of advanced digital twin models and best-in-class algorithms in the BMS software, which will provide superior performances. However, as for any other CPS, the CBMS creates vulnerabilities against cyberattacks and if not properly secured, could end up damaging the BESS and/or causing dangerous, expensive, and life-threatening situations. Cybersecurity of the CBMSs has thus become a trending topic and several works have been published in this area in recent years. This paper conducts a scoping review to address different topics related to BMS cybersecurity. The CBMS architecture is presented, and the potential cyberattack surfaces are identified. Different possible attack scenarios, including attack points, attack types, and their impact at the component level (BMS and BESS) and system level (vehicle or grid), are discussed. In addition, the paper provides a review of potential countermeasures to protect the CBMS against cyberattacks. The paper also includes a review of the applicable standards and regulations that relate to this trending topic. Finally, based on the reviewed gaps, potential future research domains on BMS cybersecurity topics are identified and presented at the end of the paper.
A Tale of Nickel-Iron Batteries: Its Resurgence in the Age of Modern Batteries
Authors: Abarro Justine Marie E. , Gavan Jon Nyner L. , Loresca Daniel Eldrei D. , Ortega Maura Andrea A. , Esparcia Eugene A. , Paraggua Julie Anne D. R.
Published: July 2023

The nickel-iron (Ni-Fe) battery is a century-old technology that fell out of favor compared to modern batteries such as lead–acid and lithium-ion batteries. However, in the last decade, there has been a resurgence of interest because of its robustness and longevity, making it well-suited for niche applications, such as off-grid energy storage systems. Currently, extensive research is focused on addressing perennial issues such as iron passivation and hydrogen evolution reaction, which limit the battery’s energy density, cyclability, and rate performance. Despite efforts to modify electrode composition and morphology, these issues persist, warranting a deeper look at the development story of Ni-Fe battery improvements. In this review, the fundamental reaction mechanisms are comprehensively examined to understand the cause of persisting issues. The design improvements for both the anode and cathode of Ni-Fe batteries are discussed and summarized to identify the promising approach and provide insights on future research directions.
Perfusion of MC3T3E1 Preosteoblast Spheroids within Polysaccharide-Based Hydrogel Scaffolds: An Experimental and Numerical Study at the Bioreactor Scale
Authors: Grenier Jérôme , David Bertrand , Journé Clément , Cicha Iwona , Letourneur Didier , Duval Hervé
Published: July 2023

The traditional 3D culture systems in vitro lack the biological and mechanical spatiotemporal stimuli characteristic to native tissue development. In our study, we combined porous polysaccharide-based hydrogel scaffolds with a bioreactor-type perfusion device that generates favorable mechanical stresses while enhancing nutrient transfers. MC3T3E1 mouse osteoblasts were seeded in the scaffolds and cultivated for 3 weeks under dynamic conditions at a perfusion rate of 10 mL min−1. The spatial distribution of the cells labeled with superparamagnetic iron oxide nanoparticles was visualized by MRI. Confocal microscopy was used to assess cell numbers, their distribution inside the scaffolds, cell viability, and proliferation. The oxygen diffusion coefficient in the hydrogel was measured experimentally. Numerical simulations of the flow and oxygen transport within the bioreactor were performed using a lattice Boltzmann method with a two-relaxation time scheme. Last, the influence of cell density and spheroid size on cell oxygenation was investigated. The cells spontaneously organized into spheroids with a diameter of 30–100 μm. Cell viability remained unchanged under dynamic conditions but decreased under static culture. The cell proliferation (Ki67 expression) in spheroids was not observed. The flow simulation showed that the local fluid velocity reached 27 mm s−1 at the height where the cross-sectional area of the flow was the smallest. The shear stress exerted by the fluid on the scaffolds may locally rise to 100 mPa, compared with the average value of 25 mPa. The oxygen diffusion coefficient in the hydrogel was 1.6×10−9 m2 s−1. The simulation of oxygen transport and consumption confirmed that the cells in spheroids did not suffer from hypoxia when the bioreactor was perfused at 10 mL min−1, and suggested the existence of optimal spheroid size and spacing for appropriate oxygenation. Collectively, these findings enabled us to define the optimal conditions inside the bioreactor for an efficient in vitro cell organization and survival in spheroids, which are paramount to future applications with organoids.
The Interaction of Glycemia with Anxiety and Depression Is Related to Altered Cerebellar and Cerebral Functional Correlations
Authors: Shearrer Grace E.
Published: July 2023

Depression, type 2 diabetes (T2D), and obesity are comorbid, and prevention and treatment of all three diseases are needed. We hypothesized an inverse relationship between the connectivity of the cingulo-opercular task control network with the somatosensory mouth network and the interaction between HbA1c and depression. Three-hundred and twenty-five participants (BMI: 26.11 ± 0.29; Achenbach adult self-report (ASR) DSM depressive problems T-score (depression): 54.60 ± 6.77; Age: 28.26 ± 3.90 y; adult self-report anxiety and depression scale (anxiety and depression): 54.69 ± 7.27; HbA1c: 5.26 ± 0.29; 68% white) were sampled from the Human Connectome Project 1200 subjects PTN release. Inclusion criteria were: four (15 min) resting state fMRI scans; BMI; hemoglobin A1c (HbA1c); and complete adult self-report data. The following models were run to assess the connectivity between 15 independent fMRI components: the interaction of depression with HbA1c; anxiety and depression with HbA1c; depression with BMI; and anxiety and depression with BMI. All models were corrected for a reported number of depressive symptoms, head motion in the scanner, age, and race. Functional connectivity was modeled in FSLNets. Corrected significance was set at pFWE < 0.05. The interaction HbA1c and anxiety and depression was positively related to the connectivity of the cerebellum with the visual network (t = 3.76, pFWE = 0.008), frontoparietal network (t = 3.45, pFWE = 0.02), and somatosensory mouth network (t = 4.29, pFWE = 0.0004). Although our hypotheses were not supported, similar increases in cerebellar connectivity are seen in patients with T2D and overall suggest that the increased cerebellar connectivity may be compensatory for an increasingly poor glycemic control.
Alterations of Purinergic Receptors Levels and Their Involvement in the Glial Cell Morphology in a Pre-Clinical Model of Autism Spectrum Disorders
Authors: Babiec Lidia , Wilkaniec Anna , Matuszewska Marta , Pałasz Ewelina , Cieślik Magdalena , Adamczyk Agata
Published: July 2023

Recent data suggest that defects in purinergic signalling are a common denominator of autism spectrum disorders (ASDs), though nothing is known about whether the disorder-related imbalance occurs at the receptor level. In this study, we investigated whether prenatal exposure to valproic acid (VPA) induces changes in purinergic receptor expression in adolescence and whether it corresponds to glial cell activation. Pregnant dams were subjected to an intraperitoneal injection of VPA at embryonic day 12.5. In the hippocampi of adolescent male VPA offspring, we observed an increase in the level of P2X1, with concomitant decreases in P2X7 and P2Y1 receptors. In contrast, in the cortex, the level of P2X1 was significantly reduced. Also, significant increases in cortical P2Y1 and P2Y12 receptors were detected. Additionally, we observed profound alterations in microglial cell numbers and morphology in the cortex of VPA animals, leading to the elevation of pro-inflammatory cytokine expression. The changes in glial cells were partially reduced via a single administration of a non-selective P2 receptor antagonist. These studies show the involvement of purinergic signalling imbalance in the modulation of brain inflammatory response induced via prenatal VPA exposure and may indicate that purinergic receptors are a novel target for pharmacological intervention in ASDs.
Convergent Validity of the Timed Walking Tests with Functional Ambulatory Category in Subacute Stroke
Authors: Cinnera Alex Martino , Marrano Serena , De Bartolo Daniela , Iosa Marco , Bisirri Alessio , Leone Enza , Stefani Alessandro , Koch Giacomo , Ciancarelli Irene , Paolucci Stefano , Morone Giovanni
Published: July 2023

Determining the walking ability of post-stroke patients is crucial for the design of rehabilitation programs and the correct functional information to give to patients and their caregivers at their return home after a neurorehabilitation program. We aimed to assess the convergent validity of three different walking tests: the Functional Ambulation Category (FAC) test, the 10-m walking test (10MeWT) and the 6-minute walking test (6MWT). Eighty walking participants with stroke (34 F, age 64.54 ± 13.02 years) were classified according to the FAC score. Gait speed evaluation was performed with 10MeWT and 6MWT. The cut-off values for FAC and walking tests were calculated using a receiver-operating characteristic (ROC) curve. Area under the curve (AUC) and Youden’s index were used to find the cut-off value. Statistical differences were found in all FAC subgroups with respect to walking speed on short and long distances, and in the Rivermead Mobility Index and Barthel Index. Mid-level precision (AUC > 0.7; p < 0.05) was detected in the walking speed with respect to FAC score (III vs. IV and IV vs. V). The confusion matrix and the accuracy analysis showed that the most sensitive test was the 10MeWT, with cut-off values of 0.59 m/s and 1.02 m/s. Walking speed cut-offs of 0.59 and 1.02 m/s were assessed with the 10MeWT and can be used in FAC classification in patients with subacute stroke between the subgroups able to walk with supervision and independently on uniform and non-uniform surfaces. Moreover, the overlapping walking speed registered with the two tests, the 10MeWT showed a better accuracy to drive FAC classification.
Mobile Device-Based Video Screening for Infant Head Lag: An Exploratory Study
Authors: Chung Hao-Wei , Chang Che-Kuei , Huang Tzu-Hsiu , Chen Li-Chiou , Chen Hsiu-Lin , Yang Shu-Ting , Chen Chien-Chih , Wang Kuochen
Published: July 2023

Introduction: Video-based automatic motion analysis has been employed to identify infant motor development delays. To overcome the limitations of lab-recorded images and training datasets, this study aimed to develop an artificial intelligence (AI) model using videos taken by mobile phone to assess infants’ motor skills. Methods: A total of 270 videos of 41 high-risk infants were taken by parents using a mobile device. Based on the Pull to Sit (PTS) levels from the Hammersmith Motor Evaluation, we set motor skills assessments. The videos included 84 level 0, 106 level 1, and 80 level 3 recordings. We used whole-body pose estimation and three-dimensional transformation with a fuzzy-based approach to develop an AI model. The model was trained with two types of vectors: whole-body skeleton and key points with domain knowledge. Results: The average accuracies of the whole-body skeleton and key point models for level 0 were 77.667% and 88.062%, respectively. The Area Under the ROC curve (AUC) of the whole-body skeleton and key point models for level 3 were 96.049% and 94.333% respectively. Conclusions: An AI model with minimal environmental restrictions can provide a family-centered developmental delay screen and enable the remote monitoring of infants requiring intervention.
An Updated Etiology of Hair Loss and the New Cosmeceutical Paradigm in Therapy: Clearing ‘the Big Eight Strikes’
Authors: Sadgrove Nicholas , Batra Sanjay , Barreto David , Rapaport Jeffrey
Published: July 2023

In this current review, research spanning the last decade (such as transcriptomic studies, phenotypic observations, and confirmed comorbidities) has been synthesized into an updated etiology of hair loss and applied to the new cosmeceutical paradigm of hair rejuvenation. The major etiological components in scalps with hair loss are denoted as the ‘big eight strikes’, which include the following: androgens, prostaglandins, overactive aerobic metabolism of glucose, bacterial or fungal over-colonization, inflammation, fibrosis, metabolism or circulation problems, and malnutrition. The relevance of the ‘big eight’ to nine categories of hair loss is explained. In cases of androgenetic alopecia or female pattern hair loss, both elevated DHT and increased frequency of androgen receptors lead to problems with the metabolism of glucose (sugar), redox imbalance, disruption to the electron transport chain, and PPAR-γ overactivity (the latter is unique to androgenetic alopecia, where the reverse occurs in other types of hair loss). These etiological factors and others from ‘the big eight’ are the focal point of our hypothetical narrative of the attenuative mechanisms of commercial cosmeceutical hair serums. We conclude that cosmeceuticals with the potential to improve all eight strikes (according to published in vitro or clinical data) utilize bioactive peptides and plant compounds that are either flavonoids (isoflavones, procyanidins, flavanols, and flavonols) or sterols/triterpenes. It is noteworthy that many therapeutic interventions are generic to the multiple types of hair loss. Lastly, suggestions are made on how scalp and hair health can be improved by following the cosmeceutical approach.
Canine Crown Sexual Dimorphism in a Sample of the Modern Croatian Population
Authors: Dumančić Jelena , Scott G. Richard , Savić Pavičin Ivana , Anić-Milošević Sandra , Medančić Nataša , Brkić Hrvoje
Published: July 2023

Sex assessment is a key part of forensic analysis to establish the identity of unknown deceased individuals. Previous studies have shown that canines are the most dimorphic teeth, but population-specific data are necessary for forensic methods. This study explores sex dimorphism in canine crown dimensions and morphology in a contemporary Croatian population. The material consisted of 302 dental casts (147 females, 155 males) of orthodontic patients and dental students (11–25 years). The distal accessory ridge (DAR) of the upper and lower canines was evaluated using the Arizona State University Dental Anthropology System. Mesiodistal (MD) and buccolingual (BL) crown dimensions were measured on 120 casts. Sex differences in MD and BL dimensions were significant (p < 0.05) for all the canines (upper and lower, left and right), while in DAR only for lower canines (p < 0.000001). When all variables were put into the model, backward stepwise discriminant function analysis isolated lower canine DAR and lower left canine MD as the two independent variables differentiating sex. Using these two variables, a discriminant function formula allowed for sex determination with an accuracy of 73.5%. This study shows that both canine crown morphology and dimensions are useful for sex determination, especially for lower canines. These methods can be applied to children, as lower canines erupt at about 9 years of age.
Low-Complexity Pruned Convolutional Neural Network Based Nonlinear Equalizer in Coherent Optical Communication Systems
Authors: Liu Xinyu , Li Chao , Jiang Ziyun , Han Lu
Published: July 2023

Nonlinear impairments caused by devices and fiber transmission links in a coherent optical communication system can severely limit its transmission distance and achievable capacity. In this paper, we propose a low-complexity pruned-convolutional-neural-network-(CNN)-based nonlinear equalizer, to compensate nonlinear signal impairments for coherent optical communication systems. By increasing the size of the effective receptive field with an 11 × 11 large convolutional kernel, the performance of feature extraction for CNNs is enhanced and the structure of the CNN is simplified. And by performing the channel-level pruning algorithm, to prune the insignificant channels, the complexity of the CNN model is dramatically reduced. These operations could save the important component of the CNN model and reduce the model width and computation amount. The performance of the proposed CNN-based nonlinear equalizer was experimentally evaluated in a 120 Gbit/s 64-quadrature-amplitude-modulation (64-QAM) coherent optical communication system over 375 km of standard single-mode fiber (SSMF). The experimental results showed that, compared to a CNN-based nonlinear equalizer with a 6 × 6 normal convolutional kernel, the proposed CNN-based nonlinear equalizer with an 11 × 11 large convolutional kernel, after channel-level pruning, saved approximately 15.5% space complexity and 43.1% time complexity, without degrading the equalization performance. The proposed low-complexity pruned-CNN-based nonlinear equalizer has great potential for application in realistic devices and holds promising prospects for coherent optical communication systems.
Territorial Brand in Regional Development: Interdisciplinary Discussions
Authors: de Almeida Giovana Goretti Feijó
Published: July 2023

Almost half of the world’s countries, including cities, have strategically adopted the territorial brand. This essay proposes an interdisciplinary reflection on the relationship between territorial brands and territorial and regional development theories. It discusses how the brand relates to the territory, making it a social actor mediated by a distinctive signal, the territorial brand. The intersection between the concepts of territory and brand reveals the legitimation strategies of social actors in producing a collective space delimited by power relations. Beyond the economic and tourist spheres, this context brings new debates to politics, theory, and social sciences in interdisciplinary regional development.
Effects of Formic Acid and Lactic Acid Bacteria on the Fermentation Products, Bacterial Community Diversity and Predictive Functional Characteristics of Perennial Ryegrass Silage in Karst Regions
Authors: Lei Yao , Fan Xueying , Li Maoya , Chen Yulian , Li Ping , Xie Yixiao , Zheng Yulong , Sun Hong , Wang Chunmei , Dong Rui , Chen Chao , Cheng Qiming
Published: July 2023

The effects of additives on perennial ryegrass (Lolium perenne L., LP) silage’s metabolites, microbial diversity and microbial metabolic pathways have been less studied in karst areas. This experiment sought to ascertain the impact of formic acid (F) and lactic acid bacteria (LAB) preparations introduced in karst locations on the fermentation products of LP silage, the makeup of bacterial population and the projected functional characteristics. The experiment proceeded as follows: (1) for the CK treatment, 5 mL kg−1 fresh weight (FW) of distilled water was added; (2) for the F treatment (88%), 5 mL kg−1 FW of formic acid was added; (3) for the L treatment, Lactobacillus plantarum was mixed with Lactobacillus brucei at 2 × 107 cfu/g FW. For 7, 15 and 45 days, the silage samples were kept at room temperature (20–25 °C). On day 45, the amount of lactic acid (LA) in the silage samples was substantially higher (p < 0.05) in the F (6.56% DM) and L (6.94% DM) treatments than in the CK treatment (4.47% DM), and the F treatment also had significantly lower pH and NH3-N contents than the CK and L treatments. The concentration of lactic acid (LA) was significantly higher (p < 0.05) in the F (6.56% DM) and L (6.94% DM) treatments than in the CK treatment (4.47% DM). On day 45, the dominant genera for the F and L treatments were Lactiplantibacillus (28.78% and 20.34%), Lentilactobacillus (18.85% and 12.67%) and Secundilacillus (5.01% and 13.25%), while Hafnia-Obesumbacterium (16.94%) had a higher abundance in the CK treatment. The F and L treatments promoted microbial metabolic pathways such as “metabolism”, “genetic information processing” and “organismal systems”. They reduced other microbial metabolic pathways such as “membrane transport”, “signal transduction” and “ABC transport”. In summary, F and L can enhance the quality of LP silage in karst areas by improving the structure and function of microbial communities.
Preparation and Characterization of Novel Chitosan Coatings to Reduce Changes in Quality Attributes and Physiochemical and Water Characteristics of Mongolian Cheese during Cold Storage
Authors: Gao Xin , Zheng Yuanrong , Zhong Yu , Zhou Ran , Li Bo , Ma Ming
Published: July 2023

The objective of this study was to evaluate the effect of O-carboxymethyl chitosan coating on microbiological, physiochemical, and water characteristics of Mongolian cheese during refrigerated storage. O-carboxymethyl chitosan coatings, particularly at 1.5%, improved cheese preservation by significantly inhibiting microbial growth, reducing changes in protein and non-protein nitrogen, and preserving pH and titratable acidity. For texture profile analysis (TPA), the hardness, gumminess, and chewiness in O-CMC treatments were significantly more stable than those in the control during storage. In addition, the relaxation component and image of nuclear magnetic resonance (NMR) were used to analyze the internal water mobility of the cheese during storage. Compared with other treatments, the 1.5% O-carboxymethyl chitosan coating had the best overall preserving effect during storage. O-carboxymethyl chitosan coating could be used in cheese preservation applications and could extend the shelf life of Mongolian cheese. The cheese coated with 1.5% O-carboxymethyl chitosan coating ranked the highest in acceptability at the end of the storage period.
Extending Regulatory Biokinetic Lead Models towards Food Safety: Evaluation of Consumer Baby Food Contribution to Infant Blood Lead Levels and Variability
Authors: Price Skyler A. , Maddaloni Mark A. , Finley Brent L. , Thornton Stephanie A. , Unice Ken M.
Published: July 2023

The U.S. Food and Drug Administration released proposed lead (Pb) action levels for foods intended for babies and young children in January 2023 based on the agency’s interim reference value of 2.2 µg/day for dietary Pb. Since the 1980s, biokinetic models have estimated blood lead levels (BLLs) associated with environmental contamination, but their use in food safety assessment has been limited. We compared three recent biokinetic models (IEUBK Model, ICRP Model Version 5, and AALM) to develop insights on contributors to variability in potential exposures to Pb in consumer baby food products. While modest variation was observed for babies, the predictions trended to convergence for children aged 3 and older, approaching the U.S. FDA dietary conversion factor of 0.16 µg Pb/dL blood per µg Pb intake/day. We applied the IEUBK model in a probabilistic exposure assessment framework characterizing the distribution of Pb in soil, dust, water, and food intake in the United States. Soil and dust were the primary contributors to variance in infant BLLs, while food and water contributed <15% combined. Thus, reductions in upper-bound soil and dust concentrations will be necessary before achieving appreciable reductions in the frequency of BLLs greater than the BLRV of 3.5 µg/dL.
Essential Skills for Health Communication, Barriers, Facilitators and the Need for Training: Perceptions of Healthcare Professionals from Seven European Countries
Authors: Zota Dina , Diamantis Dimitrios , Katsas Konstantinos , Karnaki Pania , Tsiampalis Thomas , Sakowski Piotr , Christophi Costas , Ioannidou Eleni , Darias-Curvo Sara , Batury Victoria-Luise , Berth Hendrik , Zscheppang Anja , Linke Maike , Themistokleous Sotiris , Veloudaki Afroditi , Linos Athena
Published: July 2023

Many healthcare professionals are unaware of the necessary skills and barriers hindering interpersonal health communication. This study aimed to evaluate the healthcare professional’s perception regarding health communication training’s necessity, barriers, facilitators and critical skills in health communication. Data from a cross-sectional online survey in the framework of the H-Com project were utilized. The study included 691 healthcare professionals (physicians, nurses, students and allied health professionals) from seven European countries. Only 57% of participants had participated in health communication training, while 88.1% of them indicated a willingness to be trained in health communication. Nurses were more likely (OR = 1.84; 95% CI 1.16, 2.91) to have received such training, compared to physicians. Most examined communication skills, barriers and facilitators of effective communication, and perceived outcomes of successful communication were considered crucial for most participants, although physicians overall seemed to be less concerned. Most agreed perceived outcomes were improved professional–patient relations, patient and professional satisfaction, physical and psychological health amelioration and patients’ trust. Nurses evaluated the importance of these communication skills and communication barriers, facilitators and outcomes higher than physicians. Physicians may underestimate the importance of communication skills more than nurses. Health communication should become an integral part of training for all health professionals.
Transcriptome and Metabolome Analyses Reveal Mechanisms Underlying the Response of Quinoa Seedlings to Nitrogen Fertilizers
Authors: Li Hanxue , Wang Qianchao , Huang Tingzhi , Liu Junna , Zhang Ping , Li Li , Xie Heng , Wang Hongxin , Liu Chenghong , Qin Peng
Published: July 2023

Quinoa (Chenopodium quinoa Willd.) is a dicotyledonous annual amaranth herb that belongs to the family Chenopodiaceae. Quinoa can be cultivated across a wide range of climatic conditions. With regard to its cultivation, nitrogen-based fertilizers have a demonstrable effect on the growth and development of quinoa. How crops respond to the application of nitrogen affects grain quality and yield. Therefore, to explore the regulatory mechanisms that underlie the responses of quinoa seedlings to the application of nitrogen, we selected two varieties (i.e., Dianli-1299 and Dianli-71) of quinoa seedlings and analyzed them using metabolomic and transcriptomic techniques. Specifically, we studied the mechanisms underlying the responses of quinoa seedlings to varying concentrations of nitrogen by analyzing the dynamics of metabolites and genes involved in arginine biosynthesis; carbon fixation; and alanine, aspartate, and glutamate biosynthetic pathways. Overall, we found that differentially expressed genes (DEGs) and differentially expressed metabolites (DEMs) of quinoa are affected by the concentration of nitrogen. We detected 1057 metabolites, and 29,012 genes were annotated for the KEGG. We also found that 15 DEMs and 8 DEGs were key determinants of the differences observed in quinoa seedlings under different nitrogen concentrations. These contribute toward a deeper understanding of the metabolic processes of plants under different nitrogen treatments and provide a theoretical basis for improving the nitrogen use efficiency (NUE) of quinoa.