bluuebunny/crossref_metadata_2025 huggingface dataset:
The Impact of Protein Glycosylation on the Identification of Patients with Pediatric Appendicitis
Authors: Dojcsák Dalma , Farkas Flóra , Farkas Tamás , Papp János , Garami Attila , Viskolcz Béla , Váradi Csaba
Published: June 2024

The identification of pediatric appendicitis is challenging due to the lack of specific markers thereby several factors are included in the diagnostic process such as abdominal pain, ultrasonography and altered laboratory parameters (C reactive protein, absolute neutrophil cell number and white blood cell number). The glycosylation pattern of serum N-glycome was analyzed in this study of 38 controls and 40 patients with pediatric appendicitis. The glycans were released by enzymatic deglycosylation followed by fluorescent labeling and solid-phase extraction. The prepared samples were analyzed by hydrophilic interaction liquid chromatography with fluorescence and mass-spectrometric detection. The generated data were analyzed by multiple statistical tests involving the most important laboratory parameters as well. Significant differences associated with the examined patient groups were revealed suggesting the potential use of glycosylation analysis supporting the detection of pediatric appendicitis.
Using Hybrid PDI-Fe3O4 Nanoparticles for Capturing Aliphatic Alcohols: Halogen Bonding vs. Lone Pair–π Interactions
Authors: Piña María de las Nieves , León Alberto , Frontera Antonio , Morey Jeroni , Bauzá Antonio
Published: June 2024

In this study, Fe3O4 nanoparticles (FeNPs) decorated with halogenated perylene diimides (PDIs) have been used for capturing VOCs (volatile organic compounds) through noncovalent binding. Concretely, we have used tetrachlorinated/brominated PDIs as well as a nonhalogenated PDI as a reference system. On the other hand, methanol, ethanol, propanol, and butanol were used as VOCs. Experimental studies along with theoretical calculations (the BP86-D3/def2-TZVPP level of theory) pointed to two possible and likely competitive binding modes (lone pair–π through the π-acidic surface of the PDI and a halogen bond via the σ-holes at the Cl/Br atoms). More in detail, thermal desorption (TD) experiments showed an increase in the VOC retention capacity upon increasing the length of the alkyl chain, suggesting a preference for the interaction with the PDI aromatic surface. In addition, the tetrachlorinated derivative showed larger VOC retention times compared to the tetrabrominated analog. These results were complemented by several state-of-the-art computational tools, such as the electrostatic surface potential analysis, the Quantum Theory of Atoms in Molecules (QTAIM), as well as the noncovalent interaction plot (NCIplot) visual index, which were helpful to rationalize the role of each interaction in the VOC···PDI recognition phenomena.
Degradation of Proteoglycans and Collagen in Equine Meniscal Tissues
Authors: Dubuc Julia , Schneider Melodie Jil , Dubuc Valerie , Richard Helene , Pinsard Maxime , Bancelin Stephane , Legare Francois , Girard Christiane , Laverty Sheila
Published: June 2024

Investigate meniscal extracellular matrix degradation. Equine menisci (n = 34 from 17 horses) were studied. Site-matched sections were cut and scored from three regions (ROIs; n = 102) and stained for histology, proteoglycan (safranin O and fast green), aggrecan, and collagen cleavage (NITEGE, DIPEN, and C1,2C antibodies, respectively). Picrosirius red and second harmonic generation microscopy were performed to investigate collagen ultrastructure. A total of 42 ROIs met the inclusion criteria and were included in the final analysis. The median (range) ROI histological score was 3 (0–9), providing a large spectrum of pathology. The median (range) proteoglycan score was 1 (0–3), representing superficial and central meniscal loss. The median (range) of DIPEN, NITEGE, and C1,2C scores was 1 (0–3), revealing immunostaining of the femoral and tibial surfaces. The proteoglycan scores exhibited significant positive associations with both histologic evaluation (p = 0.03) and DIPEN scores (p = 0.02). Additionally, a robust positive association (p = 0.007) was observed between the two aggrecanolysis indicators, NITEGE and DIPEN scores. A negative association (p = 0.008) was identified between NITEGE and histological scores. The C1,2C scores were not associated with any other scores. Picrosirius red and second harmonic generation microscopy (SHGM) illustrated the loss of the collagen matrix and structure centrally. Proteoglycan and collagen degradation commonly occur superficially in menisci and less frequently centrally. The identification of central meniscal proteoglycan and collagen degradation provides novel insight into central meniscal degeneration. However, further research is needed to elucidate the etiology and sequence of degradative events.
Exploring the Complexity and Promise of Tumor Immunotherapy in Drug Development
Authors: Feng Yiyuan , He Caiying , Liu Chang , Shao Bingjie , Wang Dong , Wu Peijie
Published: June 2024

Cancer represents a significant threat to human health, and traditional chemotherapy or cytotoxic therapy is no longer the sole or preferred approach for managing malignant tumors. With advanced research into the immunogenicity of tumor cells and the growing elderly population, tumor immunotherapy has emerged as a prominent therapeutic option. Its significance in treating elderly cancer patients is increasingly recognized. In this study, we review the conceptual classifications and benefits of immunotherapy, and discuss recent developments in new drugs and clinical progress in cancer treatment through various immunotherapeutic modalities with different mechanisms. Additionally, we explore the impact of immunosenescence on the effectiveness of cancer immunotherapy and propose innovative and effective strategies to rejuvenate senescent T cells.
Identification of Optimal Data Augmentation Techniques for Multimodal Time-Series Sensory Data: A Framework
Authors: Ashfaq Nazish , Khan Muhammad Hassan , Nisar Muhammad Adeel
Published: June 2024

Recently, the research community has shown significant interest in the continuous temporal data obtained from motion sensors in wearable devices. These data are useful for classifying and analysing different human activities in many application areas such as healthcare, sports and surveillance. The literature has presented a multitude of deep learning models that aim to derive a suitable feature representation from temporal sensory input. However, the presence of a substantial quantity of annotated training data is crucial to adequately train the deep networks. Nevertheless, the data originating from the wearable devices are vast but ineffective due to a lack of labels which hinders our ability to train the models with optimal efficiency. This phenomenon leads to the model experiencing overfitting. The contribution of the proposed research is twofold: firstly, it involves a systematic evaluation of fifteen different augmentation strategies to solve the inadequacy problem of labeled data which plays a critical role in the classification tasks. Secondly, it introduces an automatic feature-learning technique proposing a Multi-Branch Hybrid Conv-LSTM network to classify human activities of daily living using multimodal data of different wearable smart devices. The objective of this study is to introduce an ensemble deep model that effectively captures intricate patterns and interdependencies within temporal data. The term “ensemble model” pertains to fusion of distinct deep models, with the objective of leveraging their own strengths and capabilities to develop a solution that is more robust and efficient. A comprehensive assessment of ensemble models is conducted using data-augmentation techniques on two prominent benchmark datasets: CogAge and UniMiB-SHAR. The proposed network employs a range of data-augmentation methods to improve the accuracy of atomic and composite activities. This results in a 5% increase in accuracy for composite activities and a 30% increase for atomic activities.
Different Models of Cardiac Telerehabilitation for People with Coronary Artery Disease: Features and Effectiveness: A Systematic Review and Meta-Analysis
Authors: Pagliari Chiara , Isernia Sara , Rapisarda Laura , Borgnis Francesca , Lazzeroni Davide , Bini Matteo , Geroldi Simone , Baglio Francesca , Brambilla Lorenzo
Published: June 2024

Objectives: Cardiac telerehabilitation (TR) for coronary artery disease (CAD) is a feasible alternative to the center-based rehabilitation delivery model. However, the features of exercise-based cardiac TR are still heterogeneous among studies, making it difficult to disentangle the preferable reference strategies to be recommended for the adoption of this new delivery of care. In addition, little is known about the effectiveness of different models, such as the hybrid model (CRh) including both center-based and home-based telerehabilitation approaches, and the solely home-based telerehabilitation (CTR). Methods: We conducted a systematic review of randomized controlled trials (RCTs) that included TR intervention in patients with CAD to profile the features of the telerehabilitation approach for CAD. We also conducted a meta-analysis to separately assess the effectiveness of CTR and CRh on medical benefit outcome measures compared to conventional intervention (CI). Results: Out of 17.692 studies, 28 RCTs involving 2.662 CAD patients were included in the review. The studies presented an equal proportion of the CTR and CRh models. The interventions were mainly multidimensional, with a frequency of 1 month to 6 months, with each session ranging between 20 to 70 min. In CRh, the intervention was mainly consecutive to center-based rehabilitation. All studies adopted asynchronous communication in TR, mainly providing monitoring/assessment, decisions, and offline feedback. Few studies reported mortality, and none reported data about re-hospitalization or morbidity. Adherence to the CTR and CRh interventions was high (over 80%). The meta-analyses showed the superior effect of CTR compared to CI in exercise capacity. An overall noninferiority effect of both CTR and CRh compared to CI was found with factors including risk control and participation. Conclusions: The results of the review and meta-analyses indicated that CTR and CRh are equally effective, safe, convenient, and valid alternatives to cardiac conventional interventions. The evidence suggests that telerehabilitation may represent a valid alternative to overcome cardiac rehabilitation barriers.
The Influence of Climatic Factors on the Provocation of Epileptic Seizures
Authors: Hammen Thilo , Treib Sebastian , Treib Philipp , Stefan Hermann , Hamer Hajo M. , Landwehr Ralf , Lohmann Lynn , Koch Sebastian , Treib Johannes , Adler Werner
Published: June 2024

Background/Objectives: Recent studies provide the first indications of the impact of climate factors on human health, especially with individuals already grappling with internal and neurological conditions being particularly vulnerable. In the face of escalating climate change, our research delves into the specific influence of a spectrum of climatic factors and seasonal variations on the hospital admissions of patients receiving treatment for epileptic seizures at our clinic in Kaiserslautern. Methods: Our study encompassed data from 9366 epilepsy patients who were admitted to hospital due to epileptic seizures. We considered seven climate parameters that Germany’s National Meteorological Service made available. We employed the Kruskal–Wallis test to examine the correlation between the frequency of admittance to our hospital in the mentioned patient group and seasons. Furthermore, we used conditional Poisson regression and distributed lag linear models (DLMs) to scrutinize the coherence of the frequency of patient admittance and the investigated climate parameters. The mentioned parameters were also analyzed in a subgroup analysis regarding the gender and age of patients and the classification of seizures according to ILAE 2017. Results: Our results demonstrate that climatic factors, such as precipitation and air pressure, can increase the frequency of hospital admissions for seizures in patients with general-onset epilepsy. In contrast, patients with focal seizures are less prone to climatic changes. Consequently, admittance to the hospital for seizures is less affected by climatic factors in the latter patient group. Conclusions: The present study demonstrated that climatic factors are possible trigger factors for the provocation of seizures, particularly in patients with generalized seizures. This was determined indirectly by analyzing the frequency of seizure-related emergency admissions and their relation to prevailing climate factors. Our study is consistent with other studies showing that climate factors, such as cerebral infarcts or cerebral hemorrhages, influence patients’ health.
XEN45 Implant in Medically Controlled vs. Uncontrolled Eyes—Differential IOP Changes in Real-Life Conditions
Authors: Julio Gemma , Larena Raquel , Mármol Marta , Soldevila Anna , Canut María Isabel , Pavan Josip , Barraquer Rafael I.
Published: June 2024

Background: To assess intraocular pressure (IOP) changes and complications after XEN45 implants in medically controlled eyes (MCE) vs. medically uncontrolled eyes (MUE). Methods: A retrospective study, in a tertiary referral hospital, on mild-to-moderate primary open-angle glaucoma (POAG) cases under topical medication, including 32 eyes with IOP < 21 mmHg (MCE group) and 30 eyes with IOP ≥ 21 mmHg (MUE group). The success criteria using Kaplan–Meier analysis was IOP < 21 mmHg without medications (complete success) or fewer drugs than preoperatively (qualified success) at the last visit, without new surgery or unresolved hypotony. Results: No significant preoperative differences were found between the groups. The mean IOP was 15.6 ± 3.8 mmHg in MCE and 15.1 ± 4.1 mmHg in the MUE group (p > 0.05; Mann–Whitney test) at the end of the follow-up (mean of 26.1 ± 15.6 months and 28.3 ± 15.3 months, respectively) (p = 0.414, Mann–Whitney Test). The device caused a significant IOP reduction at 24 h in both groups. Thereafter, the MCE group significantly tended to increase IOP, recovering baseline values at 1 month and maintaining them until the end of the follow-up. In contrast, in the MUE group, the IOP values tended to be similar after the first reduction. No relevant complications and no significant differences between the groups in the survival analysis were found. Conclusions: XEN45 provided stable IOP control in both the MCE and MUE group without important complications in the medium term. The IOP increasing in the MCE group, after a prior decrease, led to restored baseline values 1 month after surgery. The homeostatic mechanism that causes the rise in the IOP to baseline values and its relationship with failure cases remains to be clarified.
Staple Line Reinforcement during Sleeve Gastrectomy with SeamGuard: Single-Center Retrospective Case-Control Study over a 5-Year Period
Authors: Vitiello Antonio , Mok Jessica , Elkalaawy Mohamed , Pucci Andrea , Jenkinson Andrew , Battheram Rachel , Pilone Vincenzo , Adamo Marco
Published: June 2024

Introduction: Various techniques and reinforcements have been proposed over the years in order to prevent leaks and bleeding after sleeve gastrectomy (LSG). The aim of this study was to retrospectively compare the staple line complication (SLC) rate in patients who underwent LSG with the use of bioabsorbable membrane (GORE® SEAMGUARD®, GoR) for staple line versus those who received no reinforcement. Methods: Data on all consecutive patients undergoing LSG between 1 January 2014 and 31 December 2018 were retrospectively reviewed. Patients were divided into two groups: the GoR+ group if the SeamGuard (GoR) was used and the GoR− group if no reinforcement was applied on the staple line. Preoperative demographics and rate of SLC were compared between groups. All cases of SLC coming from other centers were also reviewed. Results: A total number of 626 LSGs were performed at our institution during the study period. GoR was applied in 450 (71.9%) cases (GoR+ group), while NR was used in 176 (28.1%) patients (GoR− group). Two (1.13%) cases of leaking and two (1.13%) cases of bleeding occurred in the GoR− group, while no SLC was recorded in patients who received GoR (p < 0.05). Thirteen cases of SLC coming from other institutions were treated at our hospital; all these cases were performed without any SLR. Conclusion: In our case series, the use of GoR reduced the rate of SLC after LSG. In all cases of SLC coming from other institutions, no reinforcement had been applied on the staple line during LSG.
Atypical Presentations of Hydroxychloroquine Retinopathy: A Case Series Study
Authors: Lee Jung Min , Kwon Hyeon Yoon , Ahn Seong Joon
Published: June 2024

Background/Objective: Hydroxychloroquine retinopathy, traditionally characterized by parafoveal or pericentral outer retinal damage, is explored for atypical presentations in Asian patients. This challenges conventional beliefs regarding onset, retinopathy pattern, and associated visual field defects. Methods: Ninety-five patients diagnosed with hydroxychloroquine retinopathy at Hanyang University Hospital underwent screening from January 2010 to December 2023. Swept-source optical coherence tomography (SS-OCT), ultra-widefield fundus autofluorescence (UWF-FAF), and automated visual fields (VF) were employed for detailed structural and functional evaluations. Multifocal electroretinography was performed in selected cases requiring additional objective evidence of retinal toxicity. Results: Among 95 patients, 14 (14.7%) exhibited atypical presentations, including very early onset (n = 1), (far) peripheral-dominant damages (n = 4), perivascular involvement (n = 1), bitemporal hemianopsia due to nasal extensive lesions (n = 1), unilateral involvement (n = 2), and asymmetric involvement in retinopathy pattern or severity between the eyes (n = 7). These findings underscore the importance of utilizing expanded imaging techniques, such as ultra-widefield FAF imaging, to identify atypical presentations of retinal involvement. Conclusions: Screening physicians should consider these atypical presentations to ensure timely diagnosis and appropriate management in patients undergoing hydroxychloroquine treatment.
Evaluation of Serum Sestrin 2 Levels in Patients Diagnosed with Endometrial Polyps and Uterine Leiomyomas
Authors: Bornaun Teymur , Akkaya Selim , Güven Hamid Zafer
Published: June 2024

Background/Objectives: This study investigates the correlation between the serum levels of Sestrin 2 and the presence of endometrial polyps or uterine leiomyomas, aiming to enhance the understanding of the pathophysiology underlying these gynecological conditions and evaluate the potential of Sestrin 2 as an early diagnostic biomarker. Methods: In a prospective case-control format, patients with preliminary diagnoses of endometrial polyps or uterine leiomyomas confirmed by histopathological analysis following surgery were included. This study analyzed serum Sestrin 2 levels across different patient groups, revealing significant variations that underscore the diagnostic value of Sestrin 2. Results: Elevated serum Sestrin 2 levels were observed in patients with endometrial polyps and uterine leiomyomas compared to the control group, suggesting its utility as a novel marker for early detection. Conclusions: The study indicates the promising role of serum Sestrin 2 levels as a valuable biomarker for early diagnosis of endometrial polyps and uterine leiomyomas, advocating for further research into its diagnostic and therapeutic potential.
Residual Recurrence of a Small Intestinal Capillary Hemangioma with Obscure Gastrointestinal Bleeding Treated by Double-Balloon Endoscopy: A Case Report and Literature Review
Authors: Nomura Kei , Shibuya Tomoyoshi , Yuzawa Arisa , Omori Masashi , Odakura Rina , Koma Masao , Ito Kentaro , Kamba Eiji , Maruyama Takafumi , Nomura Osamu , Fukushima Hirofumi , Murakami Takashi , Ueda Kumiko , Ishikawa Dai , Hojo Mariko , Nagahara Akihito
Published: June 2024

An 86-year-old man presented with anemia. He underwent abdominal contrast-enhanced computed tomography, gastroscopy, and colonoscopy without any bleeding detected. Small bowel capsule endoscopy (SBCE) revealed a reddish polypoid lesion with blood oozing into the jejunum. Antegrade double-balloon endoscopy (DBE) revealed a 5 mm sized protrusion into the jejunum. Endoscopic mucosal resection (EMR) was difficult; the lesion was snared and resected before energization. Clips prevented further bleeding and the lesion’s position was marked with a tattoo. Histopathological examination of the lesion led to a diagnosis of capillary hemangioma. After 11 months, the patient was again anemic. A reddish polypoid lesion oozing blood near the tattoo was found by SBCE. Another antegrade DBE showed a 7 mm sized protrusion near the tattoo. The lesion was successfully treated by EMR. Histopathological examination revealed the residual recurrence of a small intestinal capillary hemangioma. The patient recovered from anemia after the EMR. Two months later, SBCE showed no findings around the tattoo. Hemangiomas account for 7–10% of benign small intestinal tumors; most are cavernous hemangiomas, and capillary hemangiomas are rare. We report a rare case of a recurring small intestinal capillary hemangioma detected by SBCE and treated using DBE. We also review the literature.
Comparison of Controlling Nutritional Status Score with Bedside Index for Severity in Acute Pancreatitis Score and Atlanta Classification for Mortality in Patients with Acute Pancreatitis
Authors: Çavuşoğlu Türker Betül , Ahbab Süleyman , Türker Fatih , Hoca Emre , Çiftçi Öztürk Ece , Kula Atay Can , Öztürk Hüseyin , Urvasızoğlu Ayşe Öznur , Kalaycı Nilsu , Koçak Erdem , Bulut Merve , Yasun Özge , Ataoğlu Hayriye Esra
Published: June 2024

Background/Objectives: Acute pancreatitis (AP) is characterized by pancreatic gland inflammation, and its clinical course ranges from mild to severe. Predicting the severity of AP early and reliably is important. In this study, we investigate the potential use of the Controlling Nutritional Status (CONUT) score as a prognostic marker in acute pancreatitis. Methods: We examined 336 patients who had been hospitalized with an AP diagnosis in the internal medicine clinic. The patients included in the study were followed up for 5 years. The study analyzed the specific variables of age, gender, and AP etiology as recorded biochemical parameters for all study participants and calculated the effects of age, sex, Bedside Index of Severity in AP (BISAP), the revised Atlanta classification, and the CONUT score on mortality. Results: When compared with surviving patients, non-surviving patients had higher scores for BISAP, CONUT, and the Atlanta Classification (p ˂ 0.001). In the non-surviving group, hemoglobin, lymphocyte, and albumin levels were significantly lower and creatinine, uric acid, and procalcitonin levels were significantly higher compared to the surviving group (p ˂ 0.001, 0.003, ˂0.001, ˂0.001, 0.005, ˂0.001, respectively). The multivariate analysis showed a significant association of mortality with age, CONUT, and BISAP scores (p ˂ 0.003, 0.001, 0.012 respectively). The CONUT score was separated into two groups based on the median value. The predicted survival time in the group with a CONUT score > 2 (53.8 months) was significantly lower than in the group with a CONUT score ≤ 2 (63.8 months). The cumulative incidence of all-cause mortality was significantly higher in the patients with higher CONUT scores. Conclusions: This study has assigned the CONUT score as an independent risk factor for mortality in AP.
Navigating Diagnostic and Treatment Challenges of Pulmonary Hypertension in Infants with Bronchopulmonary Dysplasia
Authors: Varghese Nidhy P. , Altit Gabriel , Gubichuk Megan M. , Siddaiah Roopa
Published: June 2024

Advances in perinatal intensive care have significantly enhanced the survival rates of extremely low gestation-al-age neonates but with continued high rates of bronchopulmonary dysplasia (BPD). Nevertheless, as the survival of these infants improves, there is a growing awareness of associated abnormalities in pulmonary vascular development and hemodynamics within the pulmonary circulation. Premature infants, now born as early as 22 weeks, face heightened risks of adverse development in both pulmonary arterial and venous systems. This risk is compounded by parenchymal and airway abnormalities, as well as factors such as inflammation, fibrosis, and adverse growth trajectory. The presence of pulmonary hypertension in bronchopulmonary dysplasia (BPD-PH) has been linked to an increased mortality and substantial morbidities, including a greater susceptibility to later neurodevelopmental challenges. BPD-PH is now recognized to be a spectrum of disease, with a multifactorial pathophysiology. This review discusses the challenges associated with the identification and management of BPD-PH, both of which are important in minimizing further disease progression and improving cardiopulmonary morbidity in the BPD infant.
Acetazolamide Tolerance in Acute Decompensated Heart Failure: An Observational Study
Authors: Sosa Mercado Ignacio , Putot Sophie , Fertu Elena , Putot Alain
Published: June 2024

Objectives: This real-life study aimed to evaluate the safety of acetazolamide (ACZ), a carbonic anhydrase inhibitor with diuretic effects. ACZ has recently been proven to improve decongestion in the context of patients hospitalized for acute heart failure (HF). However, data in terms of safety are lacking. Methods: We conducted a monocentric observational prospective study from November 2023 to February 2024 in a 12-bed cardiology department, recording adverse events (hypotension, severe metabolic acidosis, severe hypokalemia and renal events) during in-hospital HF treatment. All patients hospitalized for acute HF during the study period treated with ACZ (500 mg IV daily for 3 days) on top of IV furosemide (n = 28, 48.3%) were compared with patients who have been treated with IV furosemide alone (n = 30, 51.7%). Results: The patients treated with ACZ were younger than those without (median age 78 (range 67–86) vs. 85 (79–90) years, respectively, p = 0.01) and had less frequent chronic kidney disease (median estimated glomerular fraction rate (60 (35–65) vs. 38 (26–63) mL/min, p = 0.02). As concerned adverse events during HF treatment, there were no differences in the occurrences of hypotension (three patients [10.7%] in the ACZ group vs. four [13.3%], p = 0.8), renal events (four patients [14.3%] in the ACZ group vs. five [16.7%], p = 1) and severe hypokalemia (two [7.1%] in the ACZ group vs. three [10%], p = 1). No severe metabolic acidosis occurred in either group. Conclusions: Although the clinical characteristics differed at baseline, with younger age and better renal function in patients receiving ACZ, the tolerance profile did not significantly differ from patients receiving furosemide alone. Additional observational data are needed to further assess the safety of ACZ–furosemide combination in the in-hospital management of HF, especially in older, frail populations.
Assessing the Impact of Nutritional Support Teams on Clinical Outcomes: Compliance and Feasibility of Micronutrient Supplementation
Authors: Lee Sunmin , Shin Jongbeom , Kim Mina , Jo Suejin , Park Soo-Hyun
Published: June 2024

Background: Micronutrient (MN) supplementation has a positive impact on clinical outcomes. However, the evidence for the impact of MN supplementation remains controversial. Therefore, our study aims to assess the impact on nutritional outcomes according to exploring the implementation of MN support with multidisciplinary collaboration. Methods: This retrospective cohort study was conducted at a university hospital in Incheon, Korea. All patients referred to a nutrition support team (NST) between July and November 2022 were included. The NST reviews the MN protocol, which includes multivitamins and trace elements, based on international nutrient guidelines. All patients who were on nothing per oral and did not meet ≥70% of their nutritional requirements within 1 week were recommended MN supplements. Compliance with the MN protocol was evaluated, alterations in nutritional status based on the Nutrition Risk Screening 2002 (NRS 2002) scoring system and clinical outcomes were assessed after 7 day and at discharge. Multiple logistic regression analysis was used to identify factors associated with high nutritional risk in discharged patients. In addition, a sub-analysis was performed on changes in the nutritional of patients on the ward and in the ICU. Results: A total of 255 patients were eligible for analysis, with many patients requiring an MN supply of nothing per oral. The rate of implementation of MN supplementation was 50.2%. The findings indicate a significant decrease in the NRS 2002 score in the good compliance group with MN supplementation. No significant differences in protocol compliance were observed in terms of mortality, hospital stay, or length of stay in the intensive care unit. However, bad compliance with MN supplementation was correlated with risk factors for malnutrition at discharge. In subgroup analysis, nutritional status in the ICU and wards improved, with a significant difference between the two groups. Conclusions: The implementation of a MN supplementation protocol by a multidisciplinary NST is a feasible approach for improving the nutritional status of inpatients. Ensuring high compliance with this protocol is crucial, as poor compliance has been identified as a risk factor for malnutrition at discharge. Active intervention by the NST is essential to achieve optimal nutritional outcomes.
Granulomatous Tubulointerstitial Nephritis in a Kidney Allograft: Treatment with Interleukin-6 Receptor Antagonist Stabilises Kidney Function
Authors: Doctor Gabriel T. , Dudreuilh Caroline , Perera Ranmith , Dorling Anthony
Published: June 2024

Granulomatous tubulointerstitial nephritis (GTIN) attributed to early onset sarcoidosis is an ultrarare finding in an allograft kidney biopsy. We present the case of a young man with allograft dysfunction who had GTIN upon biopsy. We performed a thorough case review based on recovered records from early childhood and reassessed genetic testing results. We revised his underlying diagnosis from cryopyrin-associated periodic syndrome to early-onset sarcoidosis with wild-type NOD2 and established a rationale to use the interleukin-6 (IL-6) receptor blocker tocilizumab (TCZ). This suppressed his inflammatory disease and stabilised kidney function. We performed a literature review related to the emerging role of IL-6 pathway blockade in kidney transplantation. We identified 18 reports with 417 unique patients treated with TCZ for indications including HLA-desensitisation, transplant immunosuppression induction, treatment of chronic antibody-mediated rejection, and treatment of subclinical rejection. Both TCZ and the direct IL-6 inhibitor clazakizumab are being studied in ongoing randomised control trials.
Complications of Pelvic Prolapse Surgery Using Mesh: A Systematic Review
Authors: Dabica Alexandru , Balint Oana , Olaru Flavius , Secosan Cristina , Balulescu Ligia , Brasoveanu Simona , Pirtea Marilena , Popin Diana , Bacila Ioana Flavia , Pirtea Laurentiu
Published: June 2024

Background: Pelvic organ prolapse (POP) is a public health problem that influences millions of women around the globe, and it has a significant impact on the quality of life. From the FDA statement regarding the complications of using mesh implants in POP surgery to studies that have shown the benefits and side effects, we conducted a systematic review investigating the complications associated with surgical mesh implantation for POP repair. Methods: Relevant studies were identified through a comprehensive search of scientific databases. Studies evaluating the use of mesh in POP surgery and reporting on associated complications were included. Results: Among 2816 studies, 28 studies met the research criteria, with a total number of 8958 patients, revealing that in laparoscopic mesh surgery, the rate of mesh exposure was lower compared to vaginal mesh surgery, among other complications. Conclusions: Laparoscopic mesh surgery is superior as a long-term approach for POP repair compared to vaginal mesh surgery, offering lower complication rates and potentially better anatomical success. However, vaginal mesh surgery remains a valuable option for patients who are unsuitable for laparoscopy due to specific factors. Future research should explore alternative techniques, like pectopexy with or without mesh, to further improve surgical outcomes and patient experience.
Dent’s Disease: A Cause of Monogenic Kidney Stones and Nephrocalcinosis
Authors: Diéguez Lucía , Pilco Melissa , Butori Sofía , Kanashiro Andrés , Balaña Josep , Emiliani Esteban , Somani Bhaskar K. , Angerri Oriol
Published: June 2024

Kidney stones are becoming increasingly common, affecting up to 10% of adults. A small percentage are of monogenic origin, such as Dent’s disease (DD). DD is a syndrome that causes low-molecular-weight proteinuria, hypercalciuria, nephrolithiasis, and nephrocalcinosis. It is X-linked, and most patients have mutations in the CLCN5 gene. We performed a review of the literature and evaluated the case series (n = 6) of a single center in Spain, reviewing the natural evolution of kidney stones, clinical implications, laboratory analyses, radiological development, and treatment. All patients had a genetically confirmed diagnosis, with the CLCN5 mutation being the most frequent (66%). All patients had proteinuria and albuminuria, while only two and three presented hypercalciuria and phosphate abnormalities, respectively. Only one patient did not develop lithiasis, with most (60%) requiring extracorporeal shock wave lithotripsy or surgery during follow-up. Most of the patients are under nephrological follow-up, and two have either received a renal transplant or are awaiting one. The management of these patients is similar to that with lithiasis of non-monogenic origin, with the difference that early genetic diagnosis can help avoid unnecessary treatments, genetic counseling can be provided, and some monogenic kidney stones may benefit from targeted treatments.
ChatGPT, Help! I Am in Financial Trouble
Authors: Schlosky Minh Tam Tammy , Karadas Serkan , Raskie Sterling
Published: June 2024

This study examines the capability of ChatGPT to provide financial advice based on personal finance cases. We first write our own cases and feed them to ChatGPT to get its advice (recommendations) on them. Next, we assess the quality and the validity of ChatGPT’s recommendations on these cases. We find that ChatGPT serves as a suitable starting point, but its recommendations tend to be generic, and they often overlook alternative solutions and viewpoints and priority of recommendations. Overall, our analysis demonstrates the strengths and weaknesses of using ChatGPT in personal finance matters. Further, it serves as a helpful guide to financial advisors, households, and instructors of personal finance who are already using or considering using ChatGPT and want to develop a suitable understanding of the benefits and limitations of this new technology in addressing their professional and personal needs.
Downstream Target Analysis for miR-365 among Oral Squamous Cell Carcinomas Reveals Differential Associations with Chemoresistance
Authors: Yu Brendon , Kruse Nathaniel , Howard Katherine M. , Kingsley Karl
Published: June 2024

Expression of microRNAs, such as miR-365, is known to be dysregulated in many tumors, including oral cancers, although little is known about their role or functions. The objective of this project is to evaluate the downstream targets of miR-365 to determine any potential pathways or effects. Downstream targets for miR-365 (miRdatabase target scores > 90) were used for qPCR screening of oral cancer cell lines (SCC4, SCC9, SCC15, SCC25, CAL27). Each oral cancer cell line expressed miR-365 downstream targets molybdenum cofactor synthesis-2 (MOCS2), erythropoietin receptor (EPOR), IQ motif containing-K (IQCK), carboxypeptidase A3 (CPA3), solute carrier family 24 member-3 (SLC24A3), and coiled-coil domain containing 47 (CCDC47)—although the expression levels varied somewhat. However, differential results were observed with ubiquitin protein ligase E3 component n-recognin-3 (UBR3), nudix hydrolase-12 (NUDT12), zinc finger CCHC-type containing-14 (ZCCHC14), and homeobox and leucine zipper encoding (HOMEZ). These data suggest that many of the miR-365 targets are expressed in the oral cancers screened, with the differential expression of UBR3, ZCCHC14, HOMEZ, and NUDT12, which may be correlated with chemoresistance among two specific oral cancer cell lines (SCC25, SCC9). These results suggest this differential expression may signal potential targets for patient treatment with tumors exhibiting miR-365 and chemotherapeutic resistance.
Metabolic Dysfunction-Associated Steatotic Liver Disease in People Living with HIV—Limitations on Antiretroviral Therapy Selection
Authors: Kalopitas Georgios , Arvanitakis Konstantinos , Tsachouridou Olga , Malandris Konstantinos , Koufakis Theocharis , Metallidis Symeon , Germanidis Georgios
Published: June 2024

Chronic liver disease is one of the main causes of morbidity and mortality in people living with HIV (PLWH). The increasing life expectancy of PLWH, effective treatment for viral hepatitis, and Western dietary patterns as well as the adverse effects of antiretroviral therapy (ART) have rendered metabolic dysfunction-associated steatotic liver disease (MASLD) the most common chronic liver disease in PLWH. The risk factors for MASLD in PLWH include traditional MASLD risk factors and additional virus-specific factors, including the adverse effects of ART. The management of patients suffering from HIV and MASLD is often challenging. Apart from the conventional management of MASLD, there are also certain limitations concerning the use of ART in this patient population. In general, the appropriate combination of antiretroviral drugs should be chosen to achieve the triad of effective viral suppression, avoidance of mitochondrial dysfunction, and deterrence of worsening the patient’s metabolic profile. In the current review, we discuss the epidemiology of MASLD in PLWH, the risk factors, and the disease pathogenesis, as well as the limitations in the use of ART in this patient population, while practical recommendations on how to overcome these limitations are also given.
Unveiling Drought-Resilient Latin American Popcorn Lines through Agronomic and Physiological Evaluation
Authors: de Oliveira Uéliton Alves , do Amaral Junior Antônio Teixeira , Leite Jhean Torres , Kamphorst Samuel Henrique , de Lima Valter Jário , Bispo Rosimeire Barboza , Ribeiro Rodrigo Moreira , Viana Flávia Nicácio , Lamego Danielle Leal , Carvalho Carolina Macedo , Simão Bruna Rohem , de Oliveira Santos Talles , Gonçalves Gabriella Rodrigues , Campostrini Eliemar
Published: June 2024

Water stress can lead to physiological and morphological damage, affecting the growth and development of popcorn. The objective of this study was to identify the yield potential of 43 popcorn lines derived from a Latin American germplasm collection, based on agronomic and physiological traits, under full irrigation (WW) and water deficit conditions (WS), aiming to select superior germplasm. The evaluated agronomic traits included the ear length and diameter, number of grains per row (NGR) and rows per ear (NRE), grain yield (GY), popping expansion (EC), volume of expanded popcorn per hectare (VP), grain length (GL), width, and thickness. The physiological traits included the chlorophyll, anthocyanin, and flavonoid content in the leaves. The genetic variability and distinct behavior among the lines for all the agronomic traits under WW and WS conditions were observed. When comparing the water conditions, line L292 had the highest mean for the GY, and line L688 had the highest mean for the EC, highlighting them as the most drought-tolerant lines. A water deficit reduced the leaf greenness but increased the anthocyanin content as an adaptive response. The GY trait showed positive correlations with the VP, NGR, and GL under both water conditions, making the latter useful for indirect selection and thus of great interest for plant breeding targeting the simultaneous improvement of these traits.
Preliminary External Validation Results of the Artificial Intelligence-Based Headache Diagnostic Model: A Multicenter Prospective Observational Study
Authors: Okada Mariko , Katsuki Masahito , Shimazu Tomokazu , Takeshima Takao , Mitsufuji Takashi , Ito Yasuo , Ohbayashi Katsumi , Imai Noboru , Miyahara Junichi , Matsumori Yasuhiko , Nakazato Yoshihiko , Fujita Kazuki , Hoshino Eri , Yamamoto Toshimasa
Published: June 2024

The misdiagnosis of headache disorders is a serious issue, and AI-based headache model diagnoses with external validation are scarce. We previously developed an artificial intelligence (AI)-based headache diagnosis model using a database of 4000 patients’ questionnaires in a headache-specializing clinic and herein performed external validation prospectively. The validation cohort of 59 headache patients was prospectively collected from August 2023 to February 2024 at our or collaborating multicenter institutions. The ground truth was specialists’ diagnoses based on the initial questionnaire and at least a one-month headache diary after the initial consultation. The diagnostic performance of the AI model was evaluated. The mean age was 42.55 ± 12.74 years, and 51/59 (86.67%) of the patients were female. No missing values were reported. Of the 59 patients, 56 (89.83%) had migraines or medication-overuse headaches, and 3 (5.08%) had tension-type headaches. No one had trigeminal autonomic cephalalgias or other headaches. The models’ overall accuracy and kappa for the ground truth were 94.92% and 0.65 (95%CI 0.21–1.00), respectively. The sensitivity, specificity, precision, and F values for migraines were 98.21%, 66.67%, 98.21%, and 98.21%, respectively. There was disagreement between the AI diagnosis and the ground truth by headache specialists in two patients. This is the first external validation of the AI headache diagnosis model. Further data collection and external validation are required to strengthen and improve its performance in real-world settings.
Thermo-Fluid–Structural Coupled Analysis of a Mechanical Seal in Extended Loss of AC Power of a Reactor Coolant Pump
Authors: Park Youngjun , Hong Gwanghee , Jun Sanghyun , Choi Jeongmook , Kim Taegyu , Kang Minsoo , Jang Gunhee
Published: June 2024

We proposed a numerical method to investigate the thermo-fluid–structural coupled characteristics of a mechanical seal of a reactor coolant pump (RCP), especially during extended loss of AC power (ELAP) operation. We developed a finite element program for the general Reynolds equation, including the turbulence effect to calculate the pressure, opening force, and leakage rate of fluid lubricant and the two-dimensional energy equation to calculate the temperature distribution of the fluid lubricant. We verified the accuracy of the developed program by comparing the simulated temperature distribution and leakage rate of this study with those of previous research. Heat conduction and elastic deformation due to pressure and temperature changes at the seal structure were analyzed using an ANSYS program. The results showed that temperature more significantly affected the elastic deformation of the seal structure near clearance than pressure both under normal and ELAP operating conditions. High temperature and pressure of the coolant under ELAP operating conditions deform the seal structure, resulting in a much smaller clearance of the fluid film than normal operating condition. However, even with a small clearance under ELAP operation, the leakage rate slightly increases due to the high internal pressure of the coolant. This research will contribute to the development of robust mechanical seals for RCPs by accurately predicting the characteristics of mechanical seals, especially when the RCP is operating under ELAP.
Synergistic Effect of B4C and Multi-Walled CNT on Enhancing the Tribological Performance of Aluminum A383 Hybrid Composites
Authors: Samal Priyaranjan , Raj Himanshu , Meher Arabinda , Surekha B. , Vundavilli Pandu R. , Sharma Priyaranjan
Published: June 2024

The requirement for high-performance and energy-saving materials motivated the researchers to develop novel composite materials. This investigation focuses on utilizing aluminum alloy (A383) as the matrix material to produce hybrid metal matrix composites (HMMCs) incorporating boron carbide (B4C) and multi-walled carbon nanotube (MWCNT) through a cost-effective stir casting technique. The synthesis of HMMCs involved varying the weight fractions of B4C (2%, 4%, and 6%) and MWCNT (0.5%, 1%, and 1.5%). The metallographic study was carried out by field emission scanning electron microscopy (FESEM) mapped with EDS analysis. The results indicated a uniform dispersion and robust interfacial interaction between aluminum and the reinforced particles, significantly enhancing the mechanical properties. Micro-hardness and wear characteristics of the fabricated HMMCs were investigated using Vickers microhardness testing and the pin-on-disc tribometer setup. The disc is made of hardened chromium alloy EN 31 steel of hardness 62 HRC. The applied load was varied as 10N, 20N, 30N with a constant sliding speed of 1.5 m/s for different sliding distances. The micro-hardness value of composites reinforced with 1.5 wt% MWCNT and 6 wt% B4C improved by 61% compared to the base alloy. Additionally, the wear resistance of the composite material improved with increasing reinforcement content. Incorporating 1.5% CNT and 6% B4C as reinforcements results in the composite experiencing about a 40% reduction in wear loss compared to the unreinforced aluminum alloy matrix. Furthermore, the volumetric wear loss of the HMMCs was critically analyzed with respect to different applied loads and sliding distances. This research underscores the positive impact of varying the reinforcement content on the mechanical and wear properties of aluminum alloy-based hybrid metal matrix composites.
Influence of Laser Process Parameters on the Forming Quality and Discharge Performance of 3D-Printed Porous Anodes for Al–Air Batteries
Authors: Wang Keqing , Hu Zheming , Yin Chutong , Qin Shuangchi , Li Peng , Guan Jiahui , Zhu Kui , Li Yin , Tang Sida , Han Jitai
Published: June 2024

Aluminum–air (Al–air) batteries are considered one of the most promising next-generation energy storage devices. In this paper, we carry out an orthogonal experimental study on the SLM printing process parameters in 3D-printed Al–air battery anodes. The surface roughness, densification, and discharge performance of the electrodes under different process parameters are observed to reveal the effects of different process parameters on the forming quality and discharge performance of aluminum–air battery anodes. The results show that the laser power is the most important factor affecting the surface roughness of the porous aluminum anode, and the scanning spacing is the most important factor affecting the densification. The best printing parameters for the porous aluminum anode can be obtained when the laser power is 325 W, the scanning speed is 1000 mm/s, the scanning spacing is 0.12 mm, and the thickness of the powder spread is 0.03 mm. At this time, the surface roughness of the porous aluminum anode obtained by this process parameter is 15.01 μm, the densification is 94.97%, and the discharge is stable with a high value. In addition, we also carry out data validation to ensure that the data we obtain are optimal and valid.