bluuebunny/crossref_metadata_2025 huggingface dataset:
Water-Insoluble, Thermostable, Crosslinked Gelatin Matrix for Soft Tissue Implant Development
Authors: Varga Viktória , Smeller László , Várdai Róbert , Kocsis Bence , Zsoldos Ibolya , Cruciani Sara , Pala Renzo , Hornyák István
Published: April 2024

In this present study, the material science background of crosslinked gelatin (GEL) was investigated. The aim was to assess the optimal reaction parameters for the production of a water-insoluble crosslinked gelatin matrix suitable for heat sterilization. Matrices were subjected to enzymatic degradation assessments, and their ability to withstand heat sterilization was evaluated. The impact of different crosslinkers on matrix properties was analyzed. It was found that matrices crosslinked with butanediol diglycidyl ether (BDDE) and poly(ethylene glycol) diglycidyl ether (PEGDE) were resistant to enzymatic degradation and heat sterilization. Additionally, at 1 v/v % crosslinker concentration, the crosslinked weight was lower than the starting weight, suggesting simultaneous degradation and crosslinking. The crosslinked weight and swelling ratio were optimal in the case of the matrices that were crosslinked with 3% and 5% v/v BDDE and PEGDE. FTIR analysis confirmed crosslinking, and the reduction of free primary amino groups indicated effective crosslinking even at a 1% v/v crosslinker concentration. Moreover, stress–strain and compression characteristics of the 5% v/v BDDE crosslinked matrix were comparable to native gelatin. Based on material science measurements, the crosslinked matrices may be promising candidates for scaffold development, including properties such as resistance to enzymatic degradation and heat sterilization.
Novel Findings on CCR1 Receptor in CNS Disorders: A Pathogenic Marker Useful in Controlling Neuroimmune and Neuroinflammatory Mechanisms in Parkinson’s Disease
Authors: Repici Alberto , Capra Anna Paola , Hasan Ahmed , Bulzomì Maria , Campolo Michela , Paterniti Irene , Esposito Emanuela , Ardizzone Alessio
Published: April 2024

Parkinson’s disease (PD) is recognized as the second most common neurodegenerative disease worldwide. Even if PD etiopathogenesis is not yet fully understood, in recent years, it has been advanced that a chronic state of inflammation could play a decisive role in the development of this pathology, establishing the close link between PD and neuroinflammation. In the broad panorama of inflammation and its several signaling pathways, the C-C chemokine receptor type 1 (CCR1) could play a key pathogenic role in PD progression, and could constitute a valuable target for the development of innovative anti-PD therapies. In this study, we probed the neuroprotective properties of the CCR1 antagonist BX471 compound in a mouse model of MPTP-induced nigrostriatal degeneration. BX471 treatments were performed intraperitoneally at a dose of 3 mg/kg, 10 mg/kg, and 30 mg/kg, starting 24 h after the last injection of MPTP and continuing for 7 days. From our data, BX471 treatment strongly blocked CCR1 and, as a result, decreased PD features, also reducing the neuroinflammatory state by regulating glial activation, NF-κB pathway, proinflammatory enzymes, and cytokines overexpression. Moreover, we showed that BX471’s antagonistic action on CCR1 reduced the infiltration of immune cells, including mast cells and lymphocyte T activation. In addition, biochemical analyses carried out on serum revealed a considerable increase in circulating levels of CCR1 following MPTP-induced PD. In light of these findings, CCR1 could represent a useful pathological marker of PD, and its targeting could be a worthy candidate for the future development of new immunotherapies against PD.
Dental Stem Cells and Lipopolysaccharides: A Concise Review
Authors: Rodas-Junco Beatriz A. , Hernández-Solís Sandra E. , Serralta-Interian Angelica A. , Rueda-Gordillo Florencio
Published: April 2024

Dental tissue stem cells (DTSCs) are well known for their multipotent capacity and regenerative potential. They also play an important role in the immune response of inflammatory processes derived from caries lesions, periodontitis, and gingivitis. These oral diseases are triggered by toxins known as lipopolysaccharides (LPS) produced by gram-negative bacteria. LPS present molecular patterns associated with pathogens and are recognized by Toll-like receptors (TLRs) in dental stem cells. In this review, we describe the effect of LPS on the biological behavior of DTSCs. We also focus on the molecular sensors, signaling pathways, and emerging players participating in the interaction of DTSCs with lipopolysaccharides. Although the scientific advances generated provide an understanding of the immunomodulatory potential of DTSCs, there are still new reflections to explore with regard to their clinical application in the treatment of oral inflammatory diseases.
Proteomic Analysis of Domestic Cat Blastocysts and Their Secretome Produced in an In Vitro Culture System without the Presence of the Zona Pellucida
Authors: Veraguas-Dávila Daniel , Zapata-Rojas Camila , Aguilera Constanza , Saéz-Ruiz Darling , Saravia Fernando , Castro Fidel Ovidio , Rodriguez-Alvarez Lleretny
Published: April 2024

Domestic cat blastocysts cultured without the zona pellucida exhibit reduced implantation capacity. However, the protein expression profile has not been evaluated in these embryos. The objective of this study was to evaluate the protein expression profile of domestic cat blastocysts cultured without the zona pellucida. Two experimental groups were generated: (1) domestic cat embryos generated by IVF and cultured in vitro (zona intact, (ZI)) and (2) domestic cat embryos cultured in vitro without the zona pellucida (zona-free (ZF group)). The cleavage, morula, and blastocyst rates were estimated at days 2, 5 and 7, respectively. Day 7 blastocysts and their culture media were subjected to liquid chromatography–tandem mass spectrometry (LC–MS/MS). The UniProt Felis catus database was used to identify the standard proteome. No significant differences were found in the cleavage, morula, or blastocyst rates between the ZI and ZF groups (p > 0.05). Proteomic analysis revealed 22 upregulated and 20 downregulated proteins in the ZF blastocysts. Furthermore, 14 proteins involved in embryo development and implantation were present exclusively in the culture medium of the ZI blastocysts. In conclusion, embryo culture without the zona pellucida did not affect in vitro development, but altered the protein expression profile and release of domestic cat blastocysts.
Special Issue: Gut Microbiota in Disease and Health 2.0
Authors: Gómez Garre Dulcenombre , Modrego Javier
Published: April 2024

In recent years, research on the gut microbiota has undeniably captivated the attention of students, investigators, clinicians, and the general public [...]
Smooth-Muscle-Cell-Specific Deletion of CD38 Protects Mice from AngII-Induced Abdominal Aortic Aneurysm through Inhibiting Vascular Remodeling
Authors: Yu Zhen-Ping , Wang Yi-Kai , Wang Xiao-Yu , Gong Li-Na , Tan Hui-Lan , Jiang Mei-Xiu , Wang Ling-Fang , Yu Guan-Hui , Deng Ke-Yu , Xin Hong-Bo
Published: April 2024

Abdominal aortic aneurysm (AAA) is a serious vascular disease which is associated with vascular remodeling. CD38 is a main NAD+-consuming enzyme in mammals, and our previous results showed that CD38 plays the important roles in many cardiovascular diseases. However, the role of CD38 in AAA has not been explored. Here, we report that smooth-muscle-cell-specific deletion of CD38 (CD38SKO) significantly reduced the morbidity of AngII-induced AAA in CD38SKOApoe−/− mice, which was accompanied with a increases in the aortic diameter, medial thickness, collagen deposition, and elastin degradation of aortas. In addition, CD38SKO significantly suppressed the AngII-induced decreases in α-SMA, SM22α, and MYH11 expression; the increase in Vimentin expression in VSMCs; and the increase in VCAM-1 expression in smooth muscle cells and macrophage infiltration. Furthermore, we demonstrated that the role of CD38SKO in attenuating AAA was associated with the activation of sirtuin signaling pathways. Therefore, we concluded that CD38 plays a pivotal role in AngII-induced AAA through promoting vascular remodeling, suggesting that CD38 may serve as a potential therapeutic target for the prevention of AAA.
The Contribution of Type 2 Diabetes to Parkinson’s Disease Aetiology
Authors: Ribarič Samo
Published: April 2024

Type 2 diabetes (T2D) and Parkinson’s disease (PD) are chronic disorders that have a significant health impact on a global scale. Epidemiological, preclinical, and clinical research underpins the assumption that insulin resistance and chronic inflammation contribute to the overlapping aetiologies of T2D and PD. This narrative review summarises the recent evidence on the contribution of T2D to the initiation and progression of PD brain pathology. It also briefly discusses the rationale and potential of alternative pharmacological interventions for PD treatment.
Current Fertility Preservation Steps in Young Women Suffering from Cancer and Future Perspectives
Authors: Marco Alicia , Gargallo Marta , Ciriza Jesús , Shikanov Ariella , Baquedano Laura , García Pérez-Llantada Javier , Malo Clara
Published: April 2024

Childhood cancer incidence, especially in high-income countries, has led to a focus on preserving fertility in this vulnerable population. The common treatments, such as radiation and certain chemotherapeutic agents, though effective, pose a risk to fertility. For adult women, established techniques like embryo and egg freezing are standard, requiring ovarian stimulation. However, for prepubescent girls, ovarian tissue freezing has become the primary option, eliminating the need for hormonal preparation. This review describes the beginning, evolution, and current situation of the fertility preservation options for this young population. A total of 75 studies were included, covering the steps in the current fertility preservation protocols: (i) ovarian tissue extraction, (ii) the freezing method, and (iii) thawing and transplantation. Cryopreservation and the subsequent transplantation of ovarian tissue have resulted in successful fertility restoration, with over 200 recorded live births, including cases involving ovarian tissue cryopreserved from prepubescent girls. Despite promising results, challenges persist, such as follicular loss during transplantation, which is attributed to ischemic and oxidative damage. Optimizing ovarian tissue-freezing processes and exploring alternatives to transplantation, like in vitro systems for follicles to establish maturation, are essential to mitigating associated risks. Further research is required in fertility preservation techniques to enhance clinical outcomes in the future. Ovarian tissue cryopreservation appears to be a method with specific benefits, indications, and risks, which can be an important tool in terms of preserving fertility in younger women.
Special Issue: “Digestive Inflammation and New Therapeutical Targets”
Authors: Couvineau Alain , Haumaitre Cécile
Published: April 2024

Inflammatory diseases commonly associated with humans are chronic inflammatory gastrointestinal diseases (CIGDs) [...]
Low-Protein Diets Differentially Regulate Energy Balance during Thermoneutral and Heat Stress in Cobb Broiler Chicken (Gallus domesticus)
Authors: Sutton Julia , Habibi Mohammad , Shili Cedrick N. , Beker Ali , Salak-Johnson Janeen L. , Foote Andrew , Pezeshki Adel
Published: April 2024

The objective was to assess whether low-protein (LP) diets regulate food intake (FI) and thermogenesis differently during thermoneutral (TN) and heat stress (HS) conditions. Two-hundred-day-old male broiler chicks were weight-matched and assigned to 36 pens with 5–6 chicks/pen. After 2 weeks of acclimation, birds were subjected into four groups (9 pens/group) including (1) a normal-protein diet under TN (ambient temperature), (2) an LP diet under TN, (3) a normal-protein diet under HS (35 °C for 7 h/day), and (4) an LP diet under HS, for 4 weeks. During HS, but not TN, LP tended to decrease FI, which might be associated with a lower mRNA abundance of duodenal ghrelin and higher GIP during HS. The LP group had a higher thermal radiation than NP under TN, but during HS, the LP group had a lower thermal radiation than NP. This was linked with higher a transcript of muscle β1AR and AMPKα1 during TN, but not HS. Further, LP increased the gene expression of COX IV during TN but reduced COX IV and the sirtuin 1 abundance during HS. The dietary protein content differentially impacted plasma metabolome during TN and HS with divergent changes in amino acids such as tyrosine and tryptophan. Compared to NP, LP had increased abundances of p_Tenericutes, c_Mollicutes, c_Mollicutes_RF9, and f_tachnospiraceae under HS. Overall, LP diets may mitigate the negative outcome of heat stress on the survivability of birds by reducing FI and heat production. The differential effect of an LP diet on energy balance during TN and HS is likely regulated by gut and skeletal muscle and alterations in plasma metabolites and cecal microbiota.
A Proactive Decision-Making Model for Evaluating the Reliability of Infrastructure Assets of a Railway System
Authors: Aikhuele Daniel O. , Sorooshian Shahryar
Published: April 2024

Railway infrastructure is generally classified as either fixed or movable infrastructure assets. Failure in any of the assets could lead to the complete shutdown and disruption of the entire system, economic loss, inconvenience to passengers and the train operating company(s), and can sometimes result in death or injury in the event of the derailment of the rolling stock. Considering the importance of the railway infrastructure assets, it is only necessary to continuously explore their behavior, reliability, and safety. In this paper, a proactive multi-criteria decision-making model that is based on an interval-valued intuitionistic fuzzy set and some reliability quantitative parameters has been proposed for the evaluation of the reliability of the infrastructure assets. Results from the evaluation show that the failure mode ‘Broken and defective rails’ has the most risk and reliability concerns. Hence, priority should be given to the failure mode to avoid a total system collapse.
Phase Noise Effects on OFDM Chirp Communication Systems: Characteristics and Compensation
Authors: Li Mengjiao , Wang Wenqin
Published: April 2024

Orthogonal frequency-division multiplexing (OFDM) chirp waveforms are an attractive candidate to be a dual-function signal scheme for the joint radar and communication systems. OFDM chirp signals can not only be employed to transmit communication data through classic phase modulation, but also can perform radar detection by applying linear frequency modulation for subcarriers. However, the performance of the OFDM chirp communication system under the phase noise environment still remains uninvestigated. This paper tries to discuss the influence of phase noise on OFDM chirp communication systems and proposes effective phase noise estimation and compensation methods. We find that the phase noise effect on OFDM chirp communication systems consists of a common phase error (CPE) and an inter-carrier interference (ICI). If not compensated, the performance of the dual-function systems can be seriously degraded. In particular, an exact expression for the signal-plus-interference to noise ratio (SINR) for the OFDM chirp communication system is derived and some critical parameters are analyzed to exhibit the phase noise effects on system performance. Moreover, two low-complexity estimation approaches, maximum likelihood (ML) and linear minimum mean square error (LMMSE), as well as two compensation approaches, the de-correlation and cancellation algorithms, are respectively utilized to eliminate the phase noise impairment. Finally, the phase noise effects and the effectiveness of the compensation approach are verified by extensive numerical results.
Time Series Forecasting with Missing Data Using Generative Adversarial Networks and Bayesian Inference
Authors: Li Xiaoou
Published: April 2024

This paper tackles the challenge of time series forecasting in the presence of missing data. Traditional methods often struggle with such data, which leads to inaccurate predictions. We propose a novel framework that combines the strengths of Generative Adversarial Networks (GANs) and Bayesian inference. The framework utilizes a Conditional GAN (C-GAN) to realistically impute missing values in the time series data. Subsequently, Bayesian inference is employed to quantify the uncertainty associated with the forecasts due to the missing data. This combined approach improves the robustness and reliability of forecasting compared to traditional methods. The effectiveness of our proposed method is evaluated on a real-world dataset of air pollution data from Mexico City. The results demonstrate the framework’s capability to handle missing data and achieve improved forecasting accuracy.
Molecular Identification and Prevalence of the Mite Carpoglyphus lactis (Acarina: Carpoglyphidae) in Apis mellifera in the Republic of Korea
Authors: Nguyen Thi-Thu , Yoo Mi-Sun , Lee Hyang-Sim , Youn So-Youn , Lee Se-Ji , Seo Su-Kyoung , Kim Jaemyung , Cho Yun-Sang
Published: April 2024

Apis mellifera, especially weak ones, are highly vulnerable to Carpoglyphus lactis mites, which can rapidly infest and consume stored pollen, leading to weakened colonies and potential colony collapse. This study aimed to ascertain and investigate the prevalence of this mite in honeybee colonies across nine provinces in the Republic of Korea (ROK). A total of 615 honeybee colony samples were collected from 66 apiaries during the spring and 58 apiaries during the summer of 2023. A 1242 bp segment of the Cytochrome c oxidase subunit 1 (COI) gene was amplified using the polymerase chain reaction method. The detection levels of C. lactis in the honeybees were compared between winter and summer. Based on the COI sequence analysis, the nucleotide sequence similarity of C. lactis mites isolated in the ROK with those from China (NC048990.1) was found to be 99.5%, and with those from the United Kingdom (KY922482.1) was 99.3%. This study is the first report of C. lactis in Korean apiaries. The findings of this study demonstrate a significantly higher detection rate in winter, which is 4.1 times greater than that in summer (p < 0.001). Furthermore, the results underscore the usefulness of molecular diagnostic techniques for detecting C. lactis mites.
Response of Chironomids (Diptera, Chironomidae) to Environmental Factors at Different Spatial Scales
Authors: Rossaro Bruno , Marziali Laura
Published: April 2024

Factors responsible for species distribution of benthic macroinvertebrates, including responses at different spatial scales, have been previously investigated. The aim of the present research was to review the most relevant factors explaining chironomid species distribution focusing on factors operating at different spatial scales, such as latitude, longitude, altitude, substrate, salinity, water temperature, current velocity, conductivity, acidity, dissolved oxygen, nutrient content etc. acting at regional levels and at a large or small water basin level. Data including chironomid species abundances from different lentic and lotic waters in Italy and other surrounding countries were analyzed using partial canonical correspondence analysis (pCCA) and multiple discriminant analysis (DISCR). Spatial analyses, including univariate Moran’s I correlograms, multivariate Mantel correlograms and Moran’s eigenvector maps (MEMs), were thereafter carried out. The results showed that habitat type, including different types of lotic waters (i.e., kryal, crenal, rhithral, potamal) and different lake types (i.e., littoral, sublittoral, profundal zones), is the most significant factor separating chironomid assemblages, while spatial factors act only as indirect influencers.
Natural Diversity of Cuticular Pheromones in a Local Population of Drosophila after Laboratory Acclimation
Authors: Ferveur Jean-François , Cortot Jérôme , Cobb Matthew , Everaerts Claude
Published: April 2024

Experimental studies of insects are often based on strains raised for many generations in constant laboratory conditions. However, laboratory acclimation could reduce species diversity reflecting adaptation to varied natural niches. Hydrocarbons covering the insect cuticle (cuticular hydrocarbons; CHCs) are reliable adaptation markers. They are involved in dehydration reduction and protection against harmful factors. CHCs can also be involved in chemical communication principally related to reproduction. However, the diversity of CHC profiles in nature and their evolution in the laboratory have rarely been investigated. Here, we sampled CHC natural diversity in Drosophila melanogaster flies from a particular location in a temperate region. We also measured cis-Vaccenyl acetate, a male-specific volatile pheromone. After trapping flies using varied fruit baits, we set up 21 D. melanogaster lines and analysed their pheromones at capture and after 1 to 40 generations in the laboratory. Under laboratory conditions, the broad initial pheromonal diversity found in male and female flies rapidly changed and became more limited. In some females, we detected CHCs only reported in tropical populations: the presence of flies with a novel CHC profile may reflect the rapid adaptation of this cosmopolitan species to global warming in a temperate area.
Using Sequence Analyses to Quantitatively Measure Oropharyngeal Swallowing Temporality in Point-of-Care Ultrasound Examinations: A Pilot Study
Authors: Lam Wilson Yiu Shun , Kwong Elaine , Chan Huberta Wai Tung , Zheng Yong-Ping
Published: April 2024

(1) Background: Swallowing is a complex process that comprises well-timed control of oropharyngeal and laryngeal structures to achieve airway protection and swallowing efficiency. To understand its temporality, previous research adopted adherence measures and revealed obligatory pairs in healthy swallows and the effect of aging and bolus type on the variability of event timing and order. This study aimed to (i) propose a systemic conceptualization of swallowing physiology, (ii) apply sequence analyses, a set of information-theoretic and bioinformatic methods, to quantify and characterize swallowing temporality, and (iii) investigate the effect of aging and dysphagia on the quantified variables using sequence analyses measures. (2) Method: Forty-three participants (17 young adults, 15 older adults, and 11 dysphagic adults) underwent B-mode ultrasound swallowing examinations at the mid-sagittal plane of the submental region. The onset, maximum, and offset states of hyoid bone displacement, geniohyoid muscle contraction, and tongue base retraction were identified and sorted to form sequences which were analyzed using an inventory of sequence analytic techniques; namely, overlap coefficients, Shannon entropy, and longest common subsequence algorithms. (3) Results: The concurrency of movement sequence was found to be significantly impacted by aging and dysphagia. Swallowing sequence variability was also found to be reduced with age and the presence of dysphagia (H(2) = 52.253, p < 0.001, η2 = 0.260). Four obligatory sequences were identified, and high adherence was also indicated in two previously reported pairs. These results provided preliminary support for the validity of sequence analyses for quantifying swallowing sequence temporality. (4) Conclusions: A systemic conceptualization of human deglutition permits a multi-level quantitative analysis of swallowing physiology. Sequence analyses are a set of promising quantitative measurement techniques for point-of-care ultrasound (POCUS) swallowing examinations and outcome measures for swallowing rehabilitation and evaluation of associated physiological conditions, such as sarcopenia. Findings in the current study revealed physiological differences among healthy young, healthy older, and dysphagic adults. They also helped lay the groundwork for future AI-assisted dysphagia assessment and outcome measures using POCUSs. Arguably, the proposed conceptualization and analyses are also modality-independent measures that can potentially be generalized for other instrumental swallowing assessment modalities.
The Impact of Potassium Dynamics on Cardiomyocyte Beating in Hemodialysis Treatment
Authors: Hamada Hiroyuki , Tomo Tadashi , Kim Sung-Teh , Yamashita Akihiro C.
Published: April 2024

Background: Observational studies of intermittent hemodialysis therapy have reported that the excess decrease in K+ concentration in plasma (KP) during treatment is associated with the destabilization of cardiac function. Elucidating the mechanism by which the decrease in KP impairs myocardial excitation is indispensable for a deeper understanding of prescription design. Methods: In this study, by using an electrophysiological mathematical model, we investigated the relationship between KP dynamics and cardiomyocyte excitability for the first time. Results: The excess decrease in KP during treatment destabilized cardiomyocyte excitability through the following events: (1) a decrease in KP led to the prolongation of the depolarization phase of ventricular cells due to the reduced potassium efflux rate of the Kr channel, temporarily enhancing contraction force; (2) an excess decrease in KP activated the transport of K+ and Na+ through the funny channel in sinoatrial nodal cells, disrupting automaticity; (3) the excess decrease in KP also resulted in a significant decrease in the resting membrane potential of ventricular cells, causing contractile dysfunction. Avoiding an excess decrease in KP during treatment contributed to the maintenance of cardiomyocyte excitability. Conclusions: The results of these mathematical analyses showed that it is necessary to implement personal prescription or optimal control of K+ concentration in dialysis fluid based on predialysis KP from the perspective of regulatory science in dialysis treatment.
A Novel Method for Fabricating the Undulating Structures at Dermal—Epidermal Junction by Composite Molding Process
Authors: Qiao Hao , Gao Chuang , Lu Chunxiang , Liu Huazhen , Zhang Yi , Jin Aoxiang , Dai Qiqi , Yang Shihmo , Zhang Bing , Liu Yuanyuan
Published: April 2024

The dermal–epidermal junction (DEJ), located between the dermal–epidermal layers in human skin tissue, plays a significant role in its function. However, the limitations of biomaterial properties and microstructure fabrication methods mean that most current tissue engineered skin models do not consider the existence of DEJ. In this study, a nanofiber membrane that simulates the fluctuating structure of skin DEJ was prepared by the composite molding process. Electrospinning is a technique for the production of nanofibers, which can customize the physical and biological properties of biomaterials. At present, electrospinning technology is widely used in the simulation of customized natural skin DEJ. In this study, four different concentration ratios of poly (lactic-co-glycolic acid) (PLGA) and polycaprolactone (PCL) nanofiber membranes were prepared based on electrospinning technology. We selected a 15%PLGA + 5%PCL nanofiber membrane with mechanical properties, dimensional stability, hydrophilicity, and biocompatibility after physical properties and biological characterization. Then, the array-based microstructure model was prepared by three-dimensional (3D) printing. Subsequently, the microstructure was created on a 15%PLGA + 5%PCL membrane by the micro-imprinting process. Finally, the cell proliferation and live/dead tests of keratinocytes (HaCaTs) and fibroblasts (HSFs) were measured on the microstructural membrane and flat membrane. The results showed that 15%PLGA + 5%PCL microstructure membrane was more beneficial to promote the adhesion and proliferation of HaCaTs and HSFs than a flat membrane.
Sporothrix brasiliensis Causing Atypical Sporotrichosis in Brazil: A Systematic Review
Authors: Poester Vanice Rodrigues , Xavier Melissa Orzechowski , Munhoz Lívia Silveira , Basso Rossana Patricia , Zancopé-Oliveira Rosely Maria , Freitas Dayvison Francis Saraiva , Pasqualotto Alessandro Comarú
Published: April 2024

Zoonotic sporotrichosis, a subcutaneous mycosis caused by Sporothrix brasiliensis, has become hyperendemic and a serious public health issue in Brazil and an emerging disease throughout the world. Typical sporotrichosis is defined as fixed or lymphocutaneous lesion development, however, reports of atypical presentations have been described in hyperendemic areas, which may result in a worse prognosis. Thus, considering an increase in atypical cases and in more severe extracutaneous cases and hospitalizations reported in Brazil, we aimed to perform a systematic review to search for hypersensitivity reactions (HRs) and extracutaneous presentations associated with zoonotic sporotrichosis. A systematic review was performed, following the PRISMA guidelines to search for atypical/extracutaneous cases (mucosal, osteoarthritis, HRs, pulmonary, meningeal) of zoonotic sporotrichosis. A total of 791 published cases over 26 years (1998–2023) in eleven Brazilian states were reviewed. Most cases corresponded to a HR (47%; n = 370), followed by mucosal (32%; n = 256), multifocal (8%; n = 60), osteoarthritis (7%; n = 59), meningeal (4%; n = 32), and pulmonary (2%; n = 14) infections. When available (n = 607), the outcome was death in 7% (n = 43) of cases. Here, we show a frequent and worrisome scenario of zoonotic sporotrichosis in Brazil, with a high and dispersed incidence of atypical/extracutaneous cases throughout the Brazilian territory. Therefore, educational measures are necessary to make health professionals and the overall population aware of this fungal pathogen in Brazil as well as in other countries in the Americas.
T1 Mapping in Cardiovascular Magnetic Resonance—A Marker of Diffuse Myocardial Fibrosis in Patients Undergoing Hematopoietic Stem Cell Transplantation
Authors: Vaitiekiene Audrone , Kulboke Migle , Bieseviciene Monika , Jankauskas Antanas , Bartnykaite Agne , Rinkuniene Diana , Strazdiene Igne , Lidziute Emilija , Jankauskaite Darija , Gaidamavicius Ignas , Bucius Paulius , Lapinskas Tomas , Gerbutavicius Rolandas , Juozaityte Elona , Vaskelyte Jolanta Justina , Vaitiekus Domas , Sakalyte Gintare
Published: April 2024

Introduction: Hematopoietic stem cell transplantation (HSCT) recipients are at increased risk of cardiovascular diseases. In our study, we aimed to find subclinical changes in myocardial tissue after HSCT with the help of cardiovascular magnetic resonance (CMR) tissue imaging techniques. Methods: The data of 44 patients undergoing autologous and allogeneic HSCT in the Hospital of Lithuanian University of Health Sciences Kaunas Clinics from October 2021 to February 2023 were analyzed. Bioethics approval for the prospective study was obtained (No BE-2-96). CMR was performed two times: before enrolling for the HSCT procedure (before starting mobilization chemotherapy for autologous HSCT and before starting the conditioning regimen for allogeneic HSCT) and 12 ± 1 months after HSCT. LV end-diastolic volume, LV end-systolic volume, LV mass and values indexed to body surface area (BSA), and LV ejection fraction were calculated. T1 and T2 mapping values were measured. Results: There was a statistically significant change in T1 mapping values. Before HSCT, mean T1 mapping was 1226.13 ± 39.74 ms, and after HSCT, it was 1248.70 ± 41.07 ms (p = 0.01). The other parameters did not differ significantly. Conclusions: Increases in T1 mapping values following HSCT can show the progress of diffuse myocardial fibrosis and may reflect subclinical injury. T2 mapping values remain the same and do not show edema and active inflammation processes at 12 months after HSCT.
Personalized Medicine in Brain Tumors
Authors: D’Alessandris Quintino Giorgio , Offi Martina , Lauretti Liverana , Pallini Roberto
Published: April 2024

Personalizing clinical, diagnostic and therapeutic approaches in neuro-oncology is a huge challenge [...]
Drug Survival, Effectiveness and Safety of Secukinumab in Axial Spondyloarthritis up to 4 Years: A Real-Life Single Center Experience
Authors: Diaconu Alexandra-Diana , Pomîrleanu Cristina , Russu Mara , Strugariu Georgiana , Ancuța Eugen , Ciortescu Irina , Bologa Cristina , Morărașu Bianca , Constantin Mihai , Ceasovschih Alexandr , Șorodoc Victorița , Șorodoc Laurențiu , Ancuța Codrina
Published: April 2024

(1) Objective: The main aims of our study were to explore the drug survival and effectiveness of secukinumab in patients with axial spondyloarthritis (axSpA). (2) Methods: We underwent a retrospective analysis of consecutive axSpA treated with secukinumab as a first line of biologics or at switch in a biologic-experienced population. Efficacy data, indicating improvement in inflammation parameters (such as C-reactive protein and erythrocyte sedimentation rate) and disease activity scores (such as Ankylosing Spondylitis Disease Activity Score [ASDAS-CRP], Bath Ankylosing Spondylitis Disease Activity Index [BASDAI]), and patient-reported outcomes (pain), were assessed at 6, 12, 24, 36 and 48 months. The drug survival rate, dropout rate and discontinuation reasons (efficacy versus safety) of secukinumab were assessed in subgroup analysis (axSpA with and without exposure to biologics). (3) Results: In total, 46 patients were exposed to the IL-17A inhibitor secukinumab. The drug survival for axSpA patients 59.7% at 12 months and 31.3% at 24 months. There were no statistically significant differences in the median drug survival between biologic-naïve versus biologic-experienced subgroups. (4) Conclusions: Secukinumab has demonstrated effectiveness and safety in treating a cohort of axSpA patients in real-world settings, with a notable retention rate of the drug.
Identifying Progression-Specific Alzheimer’s Subtypes Using Multimodal Transformer
Authors: Machado Reyes Diego , Chao Hanqing , Hahn Juergen , Shen Li , Yan Pingkun ,   for the Alzheimer’s Disease Neuroimaging Initiative
Published: April 2024

Alzheimer’s disease (AD) is the most prevalent neurodegenerative disease, yet its current treatments are limited to stopping disease progression. Moreover, the effectiveness of these treatments remains uncertain due to the heterogeneity of the disease. Therefore, it is essential to identify disease subtypes at a very early stage. Current data-driven approaches can be used to classify subtypes during later stages of AD or related disorders, but making predictions in the asymptomatic or prodromal stage is challenging. Furthermore, the classifications of most existing models lack explainability, and these models rely solely on a single modality for assessment, limiting the scope of their analysis. Thus, we propose a multimodal framework that utilizes early-stage indicators, including imaging, genetics, and clinical assessments, to classify AD patients into progression-specific subtypes at an early stage. In our framework, we introduce a tri-modal co-attention mechanism (Tri-COAT) to explicitly capture cross-modal feature associations. Data from the Alzheimer’s Disease Neuroimaging Initiative (ADNI) (slow progressing = 177, intermediate = 302, and fast = 15) were used to train and evaluate Tri-COAT using a 10-fold stratified cross-testing approach. Our proposed model outperforms baseline models and sheds light on essential associations across multimodal features supported by known biological mechanisms. The multimodal design behind Tri-COAT allows it to achieve the highest classification area under the receiver operating characteristic curve while simultaneously providing interpretability to the model predictions through the co-attention mechanism.
Estimating the Soil Copper Content of Urban Land in a Megacity Using Piecewise Spectral Pretreatment
Authors: Liu Yi , Shi Tiezhu , Lan Zeying , Guo Kai , Zhuang Dachang , Zhang Xiangyang , Liang Xiaojin , Qiu Tianqi , Zhang Shengfei , Chen Yiyun
Published: April 2024

Heavy mental contamination in urban land is a serious environmental issue for large cities. Visible and near-infrared spectroscopy has been rapidly developed as a new method for estimating copper (Cu) levels, which is one of the heavy metals. Spectral pretreatment is essential for reducing noise and enhancing analysis. In the traditional method, the entire spectrum is uniformly pretreated. However, in reality, the influence of pretreatment on the spectrum may vary depending on the wavelengths. Limited research has been conducted on breaking down the entire spectrum into distinct parts for individualized pretreatment, an innovative method called piecewise pretreatment. This study gathered 250 topsoil samples (0–20 cm) in Shenzhen City, southwest China, and obtained their vis-NIR spectra (350–2500 nm) in the laboratory. This study divided the spectrum into three parts, each processed by six commonly used spectral pretreatments. The number of pretreated parts varied from 1 to 3, resulting in 342 PLSR models being built. Compared to the traditional method, piecewise pretreatment showed an increase in mean residual predictive deviation (RPD) from 1.55 to 1.71 and an increase in the percentage of positive outcomes in ∆RPD from 33.33% to 55.56%. Thus, we concluded that piecewise pretreatment generally outperforms the traditional method. Furthermore, piecewise pretreatment aims to choose the most effective pretreatment method for each part to optimize the Cu estimation model.
Orthogeriatric Care Following Hip Fracture: Improving Post-Operative Outcomes in an Aged Population
Authors: Mant Sarah J. , Amadi-Livingstone Chibuchi , Ahmed Mohamed H. , Panourgia Maria , Owles Henry , Pearce Oliver
Published: April 2024

Introduction: Hip fractures globally are associated with high levels of morbidity, mortality, and significant financial burden. This audit aimed to assess the impact of orthogeriatric liaison care on post-operative outcomes following surgical management of neck or femur fractures. Methods: Here, 258 patients who underwent hip fracture surgery over 1-year were included. Data were collected as an audit following the transition to an orthogeriatric liaison care model, involving regular orthogeriatric review (thrice weekly ward rounds, daily board rounds), superseding orthogeriatric review as requested. The audit is meant to assess the development of post-operative non-surgical site infection (NSSI) and mortality and duration of inpatient stay. Outcomes were compared to previous data from our hospital site in 2015/2016. Results: Patients with severe cognitive impairment and systemic disease (Abbreviated Mental Test Score (AMTS) < 7 and American Society of Anesthesiologists (ASA) grade ≥ 3) showed significantly elevated NSSI risk, consistent across the study periods. Both periods demonstrated an increased risk of NSSI associated with admission from nursing homes. Despite the 2021/2022 cohort being notably older, NSSI risk decreased from 40.6% to 37.2% after implementing the orthogeriatric care model. NSSI risk was notably reduced for severe cognitive impairment (51.6% vs. 71%), and the p-value was 0.025. Average hospital stay decreased post-intervention (2.4 days shorter), with a notable reduction for NSSI patients (3.4 days shorter). Overall mortality rates were similar, although mortality due to infection was significantly reduced in 2021/2022 (44.4% vs. 93.3%), and the p-value was 0.003. Conclusion: The orthogeriatric liaison care model significantly decreased NSSI only in individuals with severe cognitive impairment and infection-associated mortality. This highlights the integral role of orthogeriatricians in the care of elderly hip fracture patients.
An Update on the Potential of Tangeretin in the Management of Neuroinflammation-Mediated Neurodegenerative Disorders
Authors: Wani Irshad , Koppula Sushruta , Balda Aayushi , Thekkekkara Dithu , Jamadagni Ankush , Walse Prathamesh , Manjula Santhepete Nanjundaiah , Kopalli Spandana Rajendra
Published: April 2024

Neuroinflammation is the major cause of neurodegenerative disorders such as Alzheimer’s and Parkinson’s disease. Currently available drugs present relatively low efficacy and are not capable of modifying the course of the disease or delaying its progression. Identifying well-tolerated and brain-penetrant agents of plant origin could fulfil the pressing need for novel treatment techniques for neuroinflammation. Attention has been drawn to a large family of flavonoids in citrus fruits, which may function as strong nutraceuticals in slowing down the development and progression of neuroinflammation. This review is aimed at elucidating and summarizing the effects of the flavonoid tangeretin (TAN) in the management of neuroinflammation-mediated neurodegenerative disorders. A literature survey was performed using various resources, including ScienceDirect, PubMed, Google Scholar, Springer, and Web of Science. The data revealed that TAN exhibited immense neuroprotective effects in addition to its anti-oxidant, anti-diabetic, and peroxisome proliferator-activated receptor-γ agonistic effects. The effects of TAN are mainly mediated through the inhibition of oxidative and inflammatory pathways via regulating multiple signaling pathways, including c-Jun N-terminal kinase, phosphoinositide 3-kinase, mitogen-activated protein kinase, nuclear factor erythroid-2-related factor 2, extracellular-signal-regulated kinase, and CRE-dependent transcription. In conclusion, the citrus flavonoid TAN has the potential to prevent neuronal death mediated by neuroinflammatory pathways and can be developed as an auxiliary therapeutic agent in the management of neurodegenerative disorders.
Comparative Effectiveness of Complex Telemedicine Support in Prevention of Hospitalizations and Mortality in Patients with Heart Failure: A Systematic Review and Meta-Analysis
Authors: Garanin Andrey , Rubanenko Anatoly , Trusov Yuriy , Rubanenko Olesya , Kolsanov Alexandr
Published: April 2024

Heart failure is one of the leading causes of hospitalizations and mortality all over the world. There are literature data about the favorable influence of telemedicine support on mortality and hospitalization rate in patients with heart failure, and thus, the results of different studies are controversial. Aim: To estimate the effect of telemedicine support on hospitalization and mortality in patients with heart failure. Methods: The literature search was conducted in databases Google Scholar, MedLine, Clinical Trials, PubMed, Embase, and Crossref with the following key words: “heart failure”, “telemedicine”, “telemonitoring”, “hospitalisation (hospitalization)”, “mortality”. We included studies that were conducted during the last 10 years. In total, we analyzed 1151 records. After screening, 14 randomized control trials were included in the final analysis. Results: The conducted meta-analysis showed that telemedicine support is accompanied by a decrease in heart failure-related hospitalizations (risk ratio (RR) 0.78 (95% confidence interval (CI) 0.68–0.89)) and a decrease in all-cause mortality (RR 0.84 (95% CI 0.75–0.94)). We did not find a significant association between telemedicine support and all-cause hospitalizations. We did not analyze heart failure-related mortality because of insufficient data. Conclusion: Telemedicine support is accompanied by a decrease in heart failure-related hospitalizations and a decrease in all-cause mortality in patients with heart failure.
Friction Characteristics and Lubrication Properties of Spherical Hinge Structure of Swivel Bridge
Authors: Li Yingsong , Guo Wei , Huang Xiaoming , Chen Zeqi , Gao Ying
Published: April 2024

A spherical hinge structure is a key swivel bridge element that must be considered when evaluating friction characteristics and lubrication properties to meet the rotation requirement. Polytetrafluoroethylene (PTFE)-based spherical hinge sliders and lubrication coating have been employed for over 20 years, but with the growing tonnage of swivel bridge construction, their capacity to accommodate the required lubrication properties can be exceeded. In this manuscript, the optimal friction coefficient of the spherical hinge is obtained through the finite element analysis method. Four lubrication coatings and four spherical hinge sliders are prepared and tested through a self-developed rotation friction coefficient test, four-ball machine test, dynamic shear rheological test, and compression and shear performance test to evaluate the lubrication and friction properties of the spherical hinge structure. The results of the finite element analysis show that the optimum rotation friction coefficient of the spherical hinge structure is 0.031–1.131. The test results illustrate that the friction coefficient, wear scar diameter, maximum non-seize load, phase transition point, and thixotropic ring area of graphene lubrication coating are 0.065, 0.79 mm, 426 N, 14.6%, and 64,878 Pa/s. The graphene lubrication coating has different degrees of improvement compared with conventional polytetrafluoroethylene lubrication coating, showing more excellent lubrication properties, bearing capacity, thixotropy, and structural strength. Compressive and shear tests demonstrate that polyether ether ketone (PEEK) has good compressive and shear mechanical properties. The maximum compressive stress of PEEK is 87.7% higher than conventional PTFE, and the shear strength of PEEK is 6.07 times higher than that of PTFE. The research results can provide significantly greater wear resistance and a lower friction coefficient of the spherical hinge structure, leading to lower traction energy consumption and ensuring smooth and precise bridge rotation.
Nanostructured Medical Devices: Regulatory Perspective and Current Applications
Authors: D’Avenio Giuseppe , Daniele Carla , Grigioni Mauro
Published: April 2024

Nanomaterials (NMs) are having a huge impact in several domains, including the fabrication of medical devices (MDs). Hence, nanostructured MDs are becoming quite common; nevertheless, the associated risks must be carefully considered in order to demonstrate safety prior to their immission on the market. The biological effect of NMs requires the consideration of methodological issues since already established methods for, e.g., cytotoxicity can be subject to a loss of accuracy in the presence of certain NMs. The need for oversight of MDs containing NMs is reflected by the European Regulation 2017/745 on MDs, which states that MDs incorporating or consisting of NMs are in class III, at highest risk, unless the NM is encapsulated or bound in such a manner that the potential for its internal exposure is low or negligible (Rule 19). This study addresses the role of NMs in medical devices, highlighting the current applications and considering the regulatory requirements of such products.