bluuebunny/crossref_metadata_2025 huggingface dataset:
Neonatal Pseudohypoaldosteronism Type-1 in Japan
Authors: Fujioka Kazumichi , Nakasone Ruka , Nishida Kosuke , Ashina Mariko , Sato Itsuko , Nozu Kandai
Published: September 2022

(1) Background: Pseudohypoaldosteronism type 1 (PHA-1) is a disorder caused by renal tubular resistance to aldosterone and is characterized by problems with sodium regulation. PHA-1 is typically divided into primary PHA-1, which is caused by genetic mutation, and secondary PHA-1, which is associated with urinary tract abnormality. However, data on the clinical features of PHA-1 among newborn infants are limited. (2) Methods: We conducted a nationwide prospective surveillance study of neonatal PHA in Japan from 1 April 2019 to 31 March 2022 as part of a rare disease surveillance project of the Japan Society for Neonatal Health and Development. (3) Results: Fifteen cases (male:female = 7:8), including four primary, four secondary, and seven non-classified cases, were reported during the study period. The median gestational age and birthweight were 34 weeks (28–41) and 1852 g (516–4610), respectively. At the onset, the median serum Na and K levels were 132 mEq/L (117–137) and 6.3 mEq/L (4.7–8.3), respectively. The median plasma renin activity was 45 ng/mL/h (3.1–310, n = 9), active renin concentration was 1017 pg/mL (123–2909, n = 6), and serum aldosterone concentration was 5310 pg/mL (3250–43,700). (4) Conclusions: Neonatal PHA-1 was more common among preterm infants with no male predominance. It developed immediately after birth in cases without genetic or renal complications.
Emergence of MR-Linac in Radiation Oncology: Successes and Challenges of Riding on the MRgRT Bandwagon
Authors: Das Indra J. , Yadav Poonam , Mittal Bharat B.
Published: September 2022

The special issue of JCM on “Advances of MRI in Radiation Oncology” provides a unique forum for scientific literature related to MR imaging in radiation oncology. This issue covered many aspects, such as MR technology, motion management, economics, soft-tissue–air interface issues, and disease sites such as the pancreas, spine, sarcoma, prostate, head and neck, and rectum from both camps—the Unity and MRIdian systems. This paper provides additional information on the success and challenges of the two systems. A challenging aspect of this technology is low throughput and the monumental task of education and training that hinders its use for the majority of therapy centers. Additionally, the cost of this technology is too high for most institutions, and hence widespread use is still limited. This article highlights some of the difficulties and how to resolve them.
Evaluation of the Relationship between Left Coronary Artery Bifurcation Angle and Coronary Artery Disease: A Systematic Review
Authors: Geerlings-Batt Jade , Sun Zhonghua
Published: September 2022

Recent studies have suggested a relationship between wide left coronary artery bifurcation (left anterior descending [LAD]-left circumflex [LCx]) angle and coronary artery disease (CAD). Current literature is multifaceted. Different studies have analysed this relationship using computational fluid dynamics, by considering CAD risk factors, and from simple causal-comparative and correlational perspectives. Hence, the purpose of this systematic review was to critically evaluate the current literature and determine whether there is sufficient evidence available to prove the relationship between LAD-LCx angle and CAD. Five electronic databases (ProQuest, Scopus, PubMed, CINAHL Plus with Full Text, and Emcare) were used to locate relevant texts, which were then screened according to predefined eligibility criteria. Thirteen eligible articles were selected for review. Current evidence suggests individuals with a wide LAD-LCx angle experience altered haemodynamics at the bifurcation site compared to those with narrower angles, which likely facilitates a predisposition to developing CAD. However, further research is required to determine causality regarding relationships between LAD-LCx angle and CAD risk factors. Insufficient valid evidence exists to support associations between LAD-LCx angle and degree of coronary stenosis, and future haemodynamic analyses should explore more accurate coronary artery modelling, as well as CAD progression in already stenosed bifurcations.
Evaluation of FIB-4, NFS, APRI and Liver Function Tests as Predictors for SARS-CoV-2 Infection in the Elderly Population: A Matched Case-Control Analysis
Authors: Grigoras Mirela Loredana , Citu Ioana Mihaela , Citu Cosmin , Chiriac Veronica Daniela , Gorun Florin , Levai Mihaela Codrina , Manolescu Diana , Rosca Ovidiu , Bratosin Felix , Gurumurthy Srivathsava , Wulandari Prima Hapsari , Cretu Octavian Marius
Published: September 2022

Several investigations have revealed that COVID-19 causes a significant death rate due to acute respiratory distress syndrome, alterations in the quantity of ACE2 receptor expression, or the intensity of cytokine storm. Similarly, patients with hepatic impairment that are co-infected with SARS-CoV-2 are more likely to display upregulations of ACE2 receptors and cytokine storm overload, which exacerbates hepatic impairment, potentially increasing the death rate. Moreover, it is expected that the aging population develops a higher degree of hepatic fibrosis in association with other comorbid conditions that are likely to influence the course of COVID-19. Therefore, this research was developed to describe the differences in liver test parameters in elderly individuals with COVID-19 in relation to other inflammatory markers and outcomes. This current observational single-center research followed a case-control design of elderly patients hospitalized for SARS-CoV-2 infection. The research was conducted at a tertiary emergency hospital in western Romania during a two-year period. There were 632 patients included in the analysis that were split into two equal groups matched 1:1 based on gender and body mass index. Three hundred sixteen patients made the group of cases with COVID-19 patients older than 65 years, while the other half were the 316 patient controls with COVID-19 that were younger than 65 years old. Disease outcomes showed a higher prevalence of ICU admissions (22.8% vs. 12.7%, p-value < 0.001) and in-hospital mortality (17.1% vs. 8.9%, p-value = 0.002) in the group of cases. Specific and non-specific liver biomarkers were identified as risk factors for mortality in the elderly, such as ALP (OR = 1.26), LDH (OR = 1.68), AST (OR = 1.98), and ALT (OR = 2.34). Similarly, patients with APRI and NFS scores higher than 1.5 were, respectively, 2.69 times and, 3.05 times more likely to die from COVID-19, and patients with FIB-4 scores higher than 3.25 were 3.13 times more likely to die during hospitalization for SARS-CoV-2 infection. Our research indicates that abnormally increased liver biomarkers and high liver fibrosis scores are related to a worse prognosis in SARS-CoV-2 infected individuals.
Lumbosacral Transitional Vertebrae Influence on Acetabular Orientation and Pelvic Tilt
Authors: Becker Luis , Taheri Nima , Haffer Henryk , Muellner Maximilian , Hipfl Christian , Ziegeler Katharina , Diekhoff Torsten , Pumberger Matthias
Published: September 2022

Lumbosacral transitional vertebrae (LSTV) are common congenital variances with a prevalence found in the population up to 35.6%. The literature demonstrates an influence of LSTV on bony pelvic anatomy. The influence on the anatomical acetabular orientation, which is important for cup positioning in total hip arthroplasty, has not yet been described for patients with LSTV. A total of 53 patients with LSTV were identified from a CT Database including 819 subjects. Fifty patients with LSTV could be included and were matched for age and sex against a control group. We examined the influence of LSTV, classified according to Castellvi, on acetabular orientation and pelvic tilt in the supine position. Functional acetabular anteversion and inclination, assessed against the table plane, were compared against anatomical acetabular anteversion and inclination, assessed against the anterior pelvic plane. The anatomical acetabular inclination correlated with the pelvic tilt (r = 0.363, p < 0.001). The anatomical acetabular inclination was significantly larger than the functional acetabular inclination in the supine position (p < 0.001). Castellvi grading of LSTV correlated negatively with pelvic tilt (ρ = −0.387, p = 0.006). Castellvi grading correlated significantly with functional acetabular anteversion (ρ = 0.324, p = 0.022) and anatomical acetabular anteversion (ρ = 0.306, p = 0.022). A higher Castellvi grading was accompanied by a reduced pelvic tilt in the supine position. The functional acetabular anteversion and anatomical acetabular anteversion increased in parallel to the higher Castellvi grading. Therefore, LSTV and Castellvi grading might be assessed on pre-operative X-rays prior to hip arthroplasty and surgeons might consider adjusting cup positioning accordingly.
Is There Still a Place for Percutaneous Nephrolithotomy in Current Times?
Authors: De Lorenzis Elisa , Zanetti Stefano Paolo , Boeri Luca , Montanari Emanuele
Published: September 2022

Background: Percutaneous nephrolithotomy (PCNL) and its miniaturized modifications are usually considered the standard surgical options for large (>20 mm) staghorn and infected stones. Moreover, PCNL is a viable alternative to retrograde intrarenal surgery (RIRS) for smaller stones (<20 mm) in the presence of anatomical malformations or inaccessible lower pole stones. However, due to the advancements in laser and scope technology, RIRS is expanding its indications with the potential benefits of lower complications and a shorter hospital stay. Methods: A literature search using the PUBMED database from inception to June 2022 was performed to explore the current role of PCNL in endourology. The analysis involved a narrative synthesis. Results: PCNL confirmed its role in the treatment of large and complex stones; moreover, miniaturized PCNL has become more competitive, gaining space among classic indications of flexible ureteroscopy. Conclusions: considering all the evaluated subgroups, we can conclude that PCNL is an old fascinating procedure and is here to stay.
Deep Learning-Based Automatic Detection of ASPECTS in Acute Ischemic Stroke: Improving Stroke Assessment on CT Scans
Authors: Chiang Pi-Ling , Lin Shih-Yen , Chen Meng-Hsiang , Chen Yueh-Sheng , Wang Cheng-Kang , Wu Min-Chen , Huang Yii-Ting , Lee Meng-Yang , Chen Yong-Sheng , Lin Wei-Che
Published: September 2022

(1) Background: The Alberta Stroke Program Early CT Score (ASPECTS) is a standardized scoring tool used to evaluate the severity of acute ischemic stroke (AIS) on non-contrast CT (NCCT). Our aim in this study was to automate ASPECTS. (2) Methods: We utilized a total of 258 patient images with suspected AIS symptoms. Expert ASPECTS readings on NCCT were used as ground truths. A deep learning-based automatic detection (DLAD) algorithm was developed for automated ASPECTS scoring based on 168 training patient images using a convolutional neural network (CNN) architecture. An additional 90 testing patient images were used to evaluate the performance of the DLAD algorithm, which was then compared with ASPECTS readings on NCCT as performed by physicians. (3) Results: The sensitivity, specificity, and accuracy of DLAD for the prediction of ASPECTS were 65%, 82%, and 80%, respectively. These results demonstrate that the DLAD algorithm was not inferior to radiologist-read ASPECTS on NCCT. With the assistance of DLAD, the individual sensitivity of the ER physician, neurologist, and radiologist improved. (4) Conclusion: The proposed DLAD algorithm exhibits a reasonable ability for ASPECTS scoring on NCCT images in patients presenting with AIS symptoms. The DLAD algorithm could be a valuable tool to improve and accelerate the decision-making process of front-line physicians.
Associations of Blood and Performance Parameters with Signs of Periodontal Inflammation in Young Elite Athletes—An Explorative Study
Authors: Merle Cordula Leonie , Richter Lisa , Challakh Nadia , Haak Rainer , Schmalz Gerhard , Needleman Ian , Rüdrich Peter , Wolfarth Bernd , Ziebolz Dirk , Wüstenfeld Jan
Published: September 2022

This retrospective cross-sectional study aimed to explore interactions between signs of periodontal inflammation and systemic parameters in athletes. Members of German squads with available data on sports medical and oral examination were included. Groups were divided by gingival inflammation (median of papillary bleeding index, PBI ≥ median) and signs of periodontitis (Periodontal Screening Index, PSI ≥ 3). Age, gender, anthropometry, blood parameters, echocardiography, sports performance on ergometer, and maximal aerobic capacity (VO2max) were evaluated. Eighty-five athletes (f = 51%, 20.6 ± 3.5 years) were included (PBI < 0.42: 45%; PSI ≥ 3: 38%). Most associations were not statistically significant. Significant group differences were found for body fat percentage and body mass index. All blood parameters were in reference ranges. Minor differences in hematocrit, hemoglobin, basophils, erythrocyte sedimentation rates, urea, and HDL cholesterol were found for PBI, in uric acid for PSI. Echocardiographic parameters (n = 40) did not show any associations. Athletes with PSI ≥ 3 had lower VO2max values (55.9 ± 6.7 mL/min/kg vs. 59.3 ± 7.0 mL/min/kg; p = 0.03). In exercise tests (n = 30), athletes with PBI < 0.42 achieved higher relative maximal load on the cycling ergometer (5.0 ± 0.5 W/kg vs. 4.4 ± 0.3 W/kg; p = 0.03). Despite the limitations of this study, potential associations between signs of periodontal inflammation and body composition, blood parameters, and performance were identified. Further studies on the systemic impact of oral inflammation in athletes, especially regarding performance, are necessary.
Gender Differences in Diagnosis, Prevention, and Treatment of Cardiotoxicity in Cardio-Oncology
Authors: Simek Shawn , Lue Brian , Rao Anjali , Ravipati Goutham , Vallabhaneni Srilakshmi , Zhang Kathleen , Zaha Vlad G. , Chandra Alvin
Published: September 2022

Gender differences exist throughout the medical field and significant progress has been made in understanding the effects of gender in many aspects of healthcare. The field of cardio-oncology is diverse and dynamic with new oncologic and cardiovascular therapies approved each year; however, there is limited knowledge regarding the effects of gender within cardio-oncology, particularly the impact of gender on cardiotoxicities. The relationship between gender and cardio-oncology is unique in that gender likely affects not only the biological underpinnings of cancer susceptibility, but also the response to both oncologic and cardiovascular therapies. Furthermore, gender has significant socioeconomic and psychosocial implications which may impact cancer and cardiovascular risk factor profiles, cancer susceptibility, and the delivery of healthcare. In this review, we summarize the effects of gender on susceptibility of cancer, response to cardiovascular and cancer therapies, delivery of healthcare, and highlight the need for further gender specific studies regarding the cardiovascular effects of current and future oncological treatments.
Ocular Complications of Diabetes and Therapeutic Approaches
Authors: Romero-Aroca Pedro
Published: September 2022

Diabetes mellitus, more simply called diabetes, is a chronic condition that occurs when blood glucose levels rise because the body cannot produce any or enough of the hormone insulin or cannot effectively use the insulin it produces [...]
Blood Based Biomarkers as Predictive Factors for Hyperprogressive Disease
Authors: Yildirim Hasan Cagri , Guven Deniz Can , Aktepe Oktay Halit , Taban Hakan , Yilmaz Feride , Yasar Serkan , Aksoy Sercan , Erman Mustafa , Kilickap Saadettin , Yalcin Suayib
Published: September 2022

Purpose: With the widespread use of immunotherapy agents, we encounter treatment responses such as hyperprogression disease (HPD) that we have not seen with previous standard chemotherapy and targeted therapies. It is known that survival in patients with HPD is shorter than in patients without HPD. Therefore, it is important to know the factors that will predict HPD. We aimed to identify HPD-related factors in patients treated with immunotherapy. Methods: A total of 121 adult metastatic cancer patients treated with immunotherapy for any cancer were included. Baseline demographics, the ECOG performance status, type of tumors and baseline blood count parameters were recorded. Possible predisposing factors were evaluated with univariate and multivariate analyses. Results: The median age was 62.28 (interquartile range (IQR) 54.02–67.63) years, and the median follow-up was 12.26 (IQR 5.6–24.36) months. Renal cell carcinoma (33%) and melanoma (33.8%) were the most common diagnoses. Twenty patients (16.5%) had HPD. A high LDH level (p: 0.001), hypoalbuminemia (p: 0.016) and an NLR > 5 (p: 0.007) were found to be associated with hyperprogression. Sex (female vs. male, p: 0.114), age (>65 vs. <65, p: 0.772), ECOG (0 vs. 1–4, p: 0.480) and the line of treatment (1–5, p: 0.112) were not found to be associated with hyperprogression. Conclusions: In this study, we observed HPD in 16.5% of immunotherapy-treated patients and increased HPD risk in patients with a high LDH level (p: 0.001), hypoalbuminemia (p: 0.016) and an NLR > 5 (p: 0.007).
Modulator Therapy in Cystic Fibrosis Patients with cis Variants in F508del Complex Allele: A Short-Term Observational Case Series
Authors: Terlizzi Vito , Centrone Claudia , Ferrari Beatrice , Castellani Chiara , Gunawardena Tarini N. A. , Taccetti Giovanni , Laselva Onofrio
Published: September 2022

Previous studies reported the influence of cis variants in F508del cystic fibrosis (CF) patients in their responses to CFTR modulators. The current study is a prospective, observational study involving three patients with CF and pancreatic insufficiency, carrying a complex allele including F508del with A238V, I1027T, or L467F. We report clinical data before and after 4 weeks of treatment with tezacaftor (TEZ)/ivacaftor (IVA), elexacaftor (ELX)/TEZ/IVA, and lumacaftor (LUM)/IVA for patients with complex alleles A238V, I1027T, and L467F, respectively. The 50-year-old patient bearing F508del;A238V/D1152H showed a normal sweat test (13 mEq/L) and improvements in forced expiratory volume in the first second (FEV1) (+7 points), body mass index (BMI) (+0.85), and respiratory CF Questionnaire-Revised (CFQ-R) domain (+22.2 points). The 12-year-old patient bearing F508del;I1027T/R709X showed an improvement in a sweat test (−40 mEq/l), FEV1 (+9 points) and the respiratory CFQ-R domain (+16.7 points). No changes in outcomes were observed for the 6-year-old patient F508del;L467F/F508del. Our data highlight that the reported variants do not modify the phenotypic expression of F508del. Searching L467F is crucial in CF patients with F508del nonresponsive to ELX/TEZ/IVA. Further data are needed to evaluate the clinical effect of these variants after a longer follow up.
A NLP Pipeline for the Automatic Extraction of a Complete Microorganism’s Picture from Microbiological Notes
Authors: Mora Sara , Attene Jacopo , Gazzarata Roberta , Giacobbe Daniele Roberto , Blobel Bernd , Parruti Giustino , Giacomini Mauro
Published: September 2022

The Italian “Istituto Superiore di Sanità” (ISS) identifies hospital-acquired infections (HAIs) as the most frequent and serious complications in healthcare. HAIs constitute a real health emergency and, therefore, require decisive action from both local and national health organizations. Information about the causative microorganisms of HAIs is obtained from the results of microbiological cultures of specimens collected from infected body sites, but microorganisms’ names are sometimes reported only in the notes field of the culture reports. The objective of our work was to build a NLP-based pipeline for the automatic information extraction from the notes of microbiological culture reports. We analyzed a sample composed of 499 texts of notes extracted from 1 month of anonymized laboratory referral. First, our system filtered texts in order to remove nonmeaningful sentences. Thereafter, it correctly extracted all the microorganisms’ names according to the expert’s labels and linked them to a set of very important metadata such as the translations into national/international vocabularies and standard definitions. As the major result of our pipeline, the system extracts a complete picture of the microorganism.
White Blood Cells, COVID-19, and Mendelian Randomization
Authors: Baicus Cristian
Published: September 2022

Many observational studies have shown an association between the severity of COVID-19 and the different white blood cell counts, most frequently neutrophils, lymphocytes, and eosinophils. The studies aimed to predict the prognosis, and therefore, a causal relationship was unnecessary. However, if we begin to look at these biomarkers as potential therapeutic targets, then causality is essential. Observational studies cannot prove a causal relationship, and randomized trials are not always feasible. In this case, Mendelian randomization studies, considered more valid than observational studies, could add to the arguments for causality. Two Mendelian randomization studies tested for a causal relationship between the number of different white cell populations and COVID-19 severity, but their results are different; therefore, the problem of causality is not settled in this case.
Application of Signals with Rippled Spectra as a Training Approach for Speech Intelligibility Improvements in Cochlear Implant Users
Authors: Nechaev Dmitry , Goykhburg Marina , Supin Alexander , Bakhshinyan Vigen , Tavartkiladze George
Published: September 2022

In cochlear implant (CI) users, the discrimination of sound signals with rippled spectra correlates with speech discrimination. We suggest that rippled-spectrum signals could be a basis for training CI users to improve speech intelligibility. Fifteen CI users participated in the study. Ten of them used the software for training (the experimental group), and five did not (the control group). Software based on the phase reversal discrimination of rippled spectra was used. The experimental group was also tested for speech discrimination using phonetic material based on polysyllabic balanced speech material. An improvement in the discrimination of the rippled spectrum was observed in all CI users from the experimental group. There was no significant improvement in the control group. The result of the speech discrimination test showed that the percentage of recognized words increased after training in nine out of ten CI users. For five CI users who participated in the training program, the data on word recognition were also obtained earlier (at least eight months before training). The increase in the percentage of recognized words was greater after training compared to the period before training. The results allow the suggestion that sound signals with rippled spectra could be used not only for testing rehabilitation results after CI but also for training CI users to discriminate sounds with complex spectra.
MiRNA as a Potential Target for Multiple Myeloma Therapy–Current Knowledge and Perspectives
Authors: Szudy-Szczyrek Aneta , Ahern Sean , Krawczyk Janusz , Szczyrek Michał , Hus Marek
Published: September 2022

Multiple myeloma (MM) is the second most common hematological malignancy. Despite the huge therapeutic progress thanks to the introduction of novel therapies, MM remains an incurable disease. Extensive research is currently ongoing to find new options. MicroRNAs (miRNAs) are small, non-coding RNA molecules that regulate gene expression at a post-transcriptional level. Aberrant expression of miRNAs in MM is common. Depending on their role in MM development, miRNAs have been reported as oncogenes and tumor suppressors. It was demonstrated that specific miRNA alterations using miRNA mimics or antagomirs can normalize the gene regulatory network and signaling pathways in the microenvironment and MM cells. These properties make miRNAs attractive targets in anti-myeloma therapy. However, only a few miRNA-based drugs have been entered into clinical trials. In this review, we discuss the role of the miRNAs in the pathogenesis of MM, their current status in preclinical/clinical trials, and the mechanisms by which miRNAs can theoretically achieve therapeutic benefit in MM treatment.
How Artificial Intelligence in Imaging Can Better Serve Patients with Bronchial and Parenchymal Lung Diseases?
Authors: Hoang-Thi Trieu-Nghi , Chassagnon Guillaume , Tran Hai-Dang , Le-Dong Nhat-Nam , Dinh-Xuan Anh Tuan , Revel Marie-Pierre
Published: September 2022

With the rapid development of computing today, artificial intelligence has become an essential part of everyday life, with medicine and lung health being no exception. Big data-based scientific research does not mean simply gathering a large amount of data and letting the machines do the work by themselves. Instead, scientists need to identify problems whose solution will have a positive impact on patients’ care. In this review, we will discuss the role of artificial intelligence from both physiological and anatomical standpoints, starting with automatic quantitative assessment of anatomical structures using lung imaging and considering disease detection and prognosis estimation based on machine learning. The evaluation of current strengths and limitations will allow us to have a broader view for future developments.
Comparison of the Post-Surgical Position of the Temporomandibular Joint after Orthognathic Surgery in Skeletal Class III Patients and Patients with Cleft Lip and Palate
Authors: Lee Yi-Hao , Tsai Chi-Yu , Wang Ling-Chun , Lai U-Kei , Lai Jui-Pin , Lin Shiu-Shiung , Chang Yu-Jen
Published: September 2022

Objective: The purpose of our research is to compare the post-surgical position of the temporomandibular joint in skeletal Class III patients and patients with cleft lip and palate treated with two-jaw orthognathic surgery using a three-dimensional computer tomography image. Materials and Methods: Twenty-three skeletal Class III patients with mandibular prognathism associated with maxillary retrognathism in group 1 and twenty cleft mid-face retrusion skeletal Class III patients in group 2 were enrolled in this study. All subjects were treated with two-jaw orthognathic surgery. Computed tomography scans were taken in all subjects at 3 weeks preoperatively and 6 months postoperatively. Three-dimensional craniofacial skeletal structures were build-up, and assessed the temporomandibular joint position changes before and after surgery. Results: Forty-three selected patients were separated into two groups. The mean age of patients was 22.39 ± 4.8 years in group 1 and 20.25 ± 3.8 years in group 2. The range of mean three-dimensional discrepancy of the selected condylar points was 0.95–1.23 mm in group 1 and 2.37–2.86 mm in group 2. The mean alteration of intercondylar angle was 2.33 ± 1.34° in group 1 and 6.30 ± 2.22° in group 2. The significant differences in the discrepancy of TMJ and changes in intercondylar angle were confirmed within the intra-group and between the two groups. Conclusions: Significant changes in postoperative TMJ position were present in both groups. Furthermore, the cleft group presented significantly more postoperative discrepancy of TMJ and more changes in intercondylar angle after surgery. This finding may be a reason leading to greater postoperative instability in cleft patients compared with skeletal Class III non-cleft patients. Clinical Trial Registration Number: IRB No: 202201108B0.
Four-Dimensional Determination of the Patient-Specific Centre of Rotation for Total Temporomandibular Joint Replacements: Following the Groningen Principle
Authors: Merema Bram B. J. , Witjes Max J. H. , Van Bakelen Nicolaas B. , Kraeima Joep , Spijkervet Frederik K. L.
Published: September 2022

For patients who suffer from severe dysfunction of the temporomandibular joint (TMJ), a total joint replacement (TJR) in the form of a prosthesis may be indicated. The position of the centre of rotation in TJRs is crucial for good postoperative oral function; however, it is not determined patient-specifically (PS) in any current TMJ-TJR. The aim of this current study was to develop a 4D-workflow to ascertain the PS mean axis of rotation, or fixed hinge, that mimics the patient’s specific physiological mouth opening. Twenty healthy adult patients were asked to volunteer for a 4D-scanning procedure. From these 4D-scanning recordings of mouth opening exercises, patient-specific centres of rotation and axes of rotation were determined using our JawAnalyser tool. The mean CR location was positioned 28 [mm] inferiorly and 5.5 [mm] posteriorly to the centre of condyle (CoC). The 95% confidence interval ranged from 22.9 to 33.7 [mm] inferior and 3.1 to 7.8 [mm] posterior to the CoC. This study succeeded in developing an accurate 4D-workflow to determine a PS mean axis of rotation that mimics the patient’s specific physiological mouth opening. Furthermore, a change in concept is necessary for all commercially available TMJ-TJR prostheses in order to comply with the PS CRs calculated by our study. In the meantime, it seems wise to stick to placing the CR 15 [mm] inferiorly to the CoC, or even beyond, towards 28 [mm] if the patient’s anatomy allows this.
Clinical Utility of Circulating Tumor Cells for Predicting Major Histopathological Response after Neoadjuvant Chemoradiotherapy in Patients with Esophageal Cancer
Authors: Gao Xing , Leow Osbert Qi-Yao , Chiu Chien-Hung , Hou Ming-Mo , Hsieh Jason Chia-Hsun , Chao Yin-Kai
Published: September 2022

Background: A “surgery as needed” approach may be offered to patients with esophageal cancer (EC) who achieve major histopathological response (MaHR) after neoadjuvant chemoradiotherapy (nCRT). However, the utility of clinical response assessment (CRE) for predicting histopathological response to nCRT remains limited. Circulating tumor cells (CTCs) hold promise as biomarkers of response to nCRT. Methods: We analyzed the clinical utility of post-nCRT CTCs, alone or in combination with CRE, in the prediction of MaHR. We defined MaHR as either the lack or a limited presence (≤10%) of vital residual tumor cells in the resected esophageal specimen in the absence of nodal involvement. Results: Of the 48 study patients, 27 (56%) achieved MaHR. Patients with MaHR had a significantly lower CTCs count compared with those without (3.61 ± 4.53 versus 6.83 ± 5.22 per mL of blood, respectively; P = 0.027). Using a cutoff for positivity of 5 CTCs per mL of blood, the combination of CTCs and CRE allowed achieving a negative predictive value for MaHR of 93% (95% confidence interval [CI] = 70–99%) along with a false negative rate of 5% (95% CI = 1–33%). Conclusion: CTCs count assessed in combination with CRE can potentially help identify patients with EC who achieved MaHR after nCRT.
Impact of the COVID-19 Pandemic on Mortality Following Hip and Knee Joint Arthroplasty Surgeries: A Systematic Review and Meta-Analysis
Authors: Lim Eic Ju , Kim Minboo , Kim Chul-Ho
Published: September 2022

We performed a meta-analysis comparing the mortality rates after hip and knee joint arthroplasty between the coronavirus 2019 (COVID-19) pandemic and pre-pandemic periods. The purpose of present study was to investigate the impact of the COVID-19 pandemic on mortality rates after hip and knee joint arthroplasty. We systematically searched the MEDLINE, Embase, and Cochrane Library databases for studies published up to 28 March 2022. We included studies which directly compared mortality rates after hip and knee joint arthroplasty between the COVID-19 pandemic and pre-pandemic periods. The methodological quality of the included studies was assessed using the Methodological Index for Nonrandomized Studies (MINORS). We compared the overall mortality rate as the primary outcome. For the subgroup analysis, the mortality rates included were: within 30 days and unrelated to COVID-19; we excluded studies with only elective arthroplasties. Readmission rates following arthroplasties were also compared. We included five studies with 3044 patients, of which 838 patients underwent surgeries during the pandemic period and 2206 patients underwent surgeries in the pre-pandemic period. The mean MINORS score was 15.4/24 (range: 15–16). The overall mortality rate showed no significant differences between the pandemic and pre-pandemic periods (OR, 2.71; 95% CI, 0.78–9.35; p = 0.12; I2 = 19%). No differences were observed in mortality following arthroplasties within 30 days and unrelated to COVID-19 nor in the readmission rates. Mortality, after excluding studies with only elective arthroplasty, presented significant differences between the COVID-19 pandemic and pre-pandemic periods (OR, 3.80; 95% CI, 1.18–12.28; p = 0.03, I2 = 0%). The limitation of the present study was that elective arthroplasty and urgent arthroplasty were not completely differentiated. The overall mortality rate in the COVID-19 pandemic period following hip and knee arthroplasty did not show a significant increase. This finding could help to maintain the practice of elective arthroplasty during a pandemic situation in the future (PROSPERO–CRD42022335471).
Fire Dynamics of the Bolivian Amazon
Authors: Singh Minerva , Sood Shivam , Collins C. Matilda
Published: September 2022

This study identifies the spatial and temporal trends, as well as the drivers, of fire dynamics in the Bolivian Amazon basin. Bolivia ranks in the top ten countries in terms of total annual burnt, with fires affecting an estimated 2.3 million hectares of forest in 2020. However, in comparison to the Brazilian Amazon, there has been little research into the fire regime in Bolivia. The sparse research and the limited literature on the subject indicate that fire activity is higher in the Bolivian Amazon basin’s dry forests and flooded savanna zones, and that agriculture and drought are the primary causes of fire activity. In this study, trend analysis and emerging hotspot analysis are deployed to identify the spatial and temporal patterns of fire activity and boosted regression tree models to identify the drivers of forest fire within each ecoregion of the Bolivian Amazon basin. Comparable to most of the Brazilian literature, this study finds that fire activity and fire season length is higher in the flooded Beni Savanna, and Chiquitano seasonally dry tropical forests than in the Bolivian Amazon ecoregion. This study also identifies moisture stress and human activity as the main drivers of fire dynamics within the region. It is intended that this research will offer a foundation for future research and conservation activities aimed at better understanding the fire regime of the Bolivian Amazon basin.
Carbon Metabolism in Urban “Production–Living–Ecological” Space Based on Ecological Network Analysis
Authors: Feng Xinhui , Li Yan , Zhang Lu , Xia Chuyu , Yu Er , Yang Jiayu
Published: September 2022

To understand the changing pattern of urban carbon metabolism from the perspective of urban “production–living–ecological” (PLE) space, taking Suzhou City as an example, this study constructed a carbon metabolic network model in urban PLE space, analyzed the changes of horizontal carbon flow, and evaluated the comprehensive effect of the PLE space changes using the ecological network analysis method. The results showed that the total carbon sequestration showed a fluctuating change of increasing and then decreasing, while the total carbon emissions grew dramatically. Production spaces were the key nodes for the generation of horizontal carbon flow. The exploitation relationship was the dominant ecological relationship in the network, the mutualism relationship was abundant from 2005 to 2010 and gradually decreased from 2010 to 2018, and the frequency of competition relationship appeared gradually increased. The ecological network hierarchy evolved from an irregular shape dominated by primary consumers in 2000–2005 to a pyramidal shape dominated by producers in 2010–2018 at the driving weight end, and the pull weight showed a declining trend, with pull weight of producers increasing from 1.72% to 24.33%. The results can provide a theoretical basis for planning adjustments to the city’s PLE space structure to achieve low-carbon goals.
COVID-19 Infection and Response to Vaccination in Chronic Kidney Disease and Renal Transplantation: A Brief Presentation
Authors: Stai Stamatia , Lioulios Georgios , Christodoulou Michalis , Kasimatis Efstratios , Fylaktou Asimina , Stangou Maria
Published: September 2022

Chronic kidney disease (CKD) is associated with phenotypic and functional changes in the immune system, followed by detrimental clinical consequences, such as severe infections and defective response to vaccination. Two years of the pandemic, due to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), have undoubtedly changed the world; however, all efforts to confront infection and provide new generation vaccines tremendously improved our understanding of the mechanisms of the immune response against infections and after vaccination. Humoral and cellular responses to vaccines, including mRNA vaccines, are apparently affected in CKD patients, as elimination of recent thymic emigrant and naïve lymphocytes and regulatory T-cells, together with contraction of T-cell repertoire and homeostatic proliferation rate, which characterized CKD patients are responsible for impaired immune activation. Successful renal transplantation will restore some of these changes, although several epigenetic changes are irreversible and even accelerated by the induction of immunosuppression. Response to vaccination is definitely impaired among both CKD and RT patients. In the present review, we analyzed the differences in immune response after vaccination between these patients and healthy individuals and depicted specific parameters, such as alterations in the immune system, predisposing to this deficient response.
Recovery of Rare Earth Elements through Spent NdFeB Magnet Oxidation (First Part)
Authors: Stopic Srecko , Polat Buse , Chung Hanwen , Emil-Kaya Elif , Smiljanić Slavko , Gürmen Sebahattin , Friedrich Bernd
Published: September 2022

Due to their remarkable magnetic properties, such as a high maximum energy product, high remanence, and high coercivity, NdFeB magnets are used in a variety of technological applications. Because of their very limited recycling, high numbers of spent NdFeB magnets are widely available in the market. In addition to China’s monopoly on the supply of most rare earth elements, there is a need for the recovery of these critical metals, as their high import price poses an economic and environmental challenge for manufacturers. This paper proposes a pyrometallurgical recycling method for end-of-life NdFeB magnets by oxidizing them in air as first required step. The main goal of this method is to oxidize rare earth elements from NdFeB magnets in order to prepare them for the carbothermic reduction. The experimental conditions, such as the oxidation temperature and time, were studied in order to establish the phase transformation during oxidation using the Factsage Database and experimental conditions. Our thermogravimetric analysis TGA analysis revealed an increased sample mass by 35% between room temperature and 1100 °C, which is very close to the total calculated theoretical value of oxygen (36.8% for all elements, and only 3.6% for rare earth elements REE), confirming the complete oxidation of the material. The obtained quantitative analysis of the oxidation product, in (%), demonstrated values of 53.41 Fe2O3, 10.37 Fe3O4; 16.45 NdFeO3; 0.45 Nd2O3, 1.28 Dy2O3, 1.07 Pr2O3, and 5.22 α-Fe.
Biosorption and Bioaccumulation Capacity of Arthrospira platensis toward Yttrium Ions
Authors: Yushin Nikita , Zinicovscaia Inga , Cepoi Liliana , Chiriac Tatiana , Rudi Ludmila , Grozdov Dmitrii
Published: September 2022

Yttrium is an element of critical importance for industry and technology. Cyanobacteria Arthrospira platensis was employed for Y(III) recovery from contaminated wastewater through biosorption and bioaccumulation processes. The effect of pH of a solution, contact time, temperature, and initial Y(III) concentration on the adsorption behaviour of Arthrospira platensis were studied. The maximum adsorption capacity of 719.8 mg/g was attained at a pH of 3, temperature of 20 °C, and adsorption time of 3 min. The Langmuir and Freundlich isotherm models were suitable to describe the equilibrium of the biosorption, while kinetic of the process followed the pseudo-first-order model. Thermodynamic parameters showed that the biosorption process was spontaneous and exothermic in nature. In bioaccumulation experiments, Arthrospira platensis was able to remove up to 70% of Y(III) from the solution. Beside biomass uptake capacity, the toxic effect of Y(III) on the biomass productivity and biochemical composition was assessed. Thus, Y(III) in concentration of 10–30 mg/L led to a decrease in the content of proteins, carbohydrates, and phycobiliproteins in the biomass and had no significant negative impact on productivity and photosynthetic pigments content. Experiments performed using Arthrospira platensis showed that biological objects have a great potential to be applied for the recovery of rare earth elements from wastewater.
Green Metalworking Fluids for Sustainable Machining Operations and Other Sustainable Systems: A Review
Authors: Khan Muhammad Azhar Ali , Hussain Muzafar , Lodhi Shahrukh Khan , Zazoum Bouchaib , Asad Muhammad , Afzal Abdulaziz
Published: September 2022

Many efforts have been made over the years to minimize the usage of mineral oil-based MWFs. This includes the trail of its alternatives, such as vegetable oil-based MWFs, nanofluids, etc. These alternatives have shown comparable results to mineral oil-based MWFs in producing a better surface finish and machining efficiency. Apart from the conventional flooding of MWFs, several alternative techniques have been developed by researchers to minimize or eliminate the usage of MWFs, including dry machining, high pressure coolant technique, minimum quantity lubrication, etc. which have also demonstrated promising results. This review attempts to highlight the drawbacks of mineral oil-based MWFs and to assess the applicability of vegetable oil-based MWFs in machining applications. Furthermore, other sustainable machining techniques are discussed in the literature review section, which highlight the main issues associated with the mentioned machining operations and their shortcomings based on the most recent literature. From the comprehensive and critical review that was performed, we inferred that the alternative methods are not mature enough at this stage and that they fall behind in some associated outcomes, some of which may be the tribological properties, surface finish or surface roughness, the cutting forces, the amount of working fluid consumed, etc. More efforts are still needed to fully eliminate the use of MWFs. Moreover, the applications of nanofluids in machining operations have been reviewed in this paper. We concluded from the critical review that nanofluids are an emerging technology which have found their place in machining applications due to their excellent thermophysical properties, but are still in their developmental stage, and more detailed studies are needed to make these a cost-effective solution.
Urinary Levels of miR-491-5p and miR-592 as Potential Diagnostic Biomarkers in Female Aging Patients with OAB: A Pilot Study
Authors: Cammisotto Philippe G. , Mossa Abubakr H. , Shamout Samer , Campeau Lysanne
Published: September 2022

Women with overactive bladder syndrome (OAB) have a lower urinary ratio of nerve growth factor (NGF) to its precursor (proNGF) compared to healthy controls. MicroRNAs related to NGF and proNGF metabolism and to their receptors may be present in urine and may possess diagnostic value. Urine and blood samples from 20 control and 20 OAB women (50–80 years) were obtained, together with validated questionnaires and other clinical parameters. The relative expression of urinary microRNAs was measured with RT-qPCR. MiR-491-5p, which negatively controls the translation of the matrix metalloproteinase-9 (MMP-9), the main enzyme degrading NGF, was significantly decreased in OAB. Similarly, miR-592, which represses p75NTR receptor synthesis, was down-regulated in OAB. Age, renal function and insulin resistance did not affect these results. ROC curves confirmed the high sensitivity of miR-491-5p and miR-592 for diagnosis. On the other hand, miRNAs involved in the expression of proNGF, of survival receptor TrkA and of markers of nerve integrity were similar between groups. The detection of miR-491-5p and miR-592 in urine could be a useful and non-invasive tool for the diagnosis of OAB syndrome in aging women.
Associations of the Lipidome with Ageing, Cognitive Decline and Exercise Behaviours
Authors: Kadyrov Maria , Whiley Luke , Brown Belinda , Erickson Kirk I. , Holmes Elaine
Published: September 2022

One of the most recognisable features of ageing is a decline in brain health and cognitive dysfunction, which is associated with perturbations to regular lipid homeostasis. Although ageing is the largest risk factor for several neurodegenerative diseases such as dementia, a loss in cognitive function is commonly observed in adults over the age of 65. Despite the prevalence of normal age-related cognitive decline, there is a lack of effective methods to improve the health of the ageing brain. In light of this, exercise has shown promise for positively influencing neurocognitive health and associated lipid profiles. This review summarises age-related changes in several lipid classes that are found in the brain, including fatty acyls, glycerolipids, phospholipids, sphingolipids and sterols, and explores the consequences of age-associated pathological cognitive decline on these lipid classes. Evidence of the positive effects of exercise on the affected lipid profiles are also discussed to highlight the potential for exercise to be used therapeutically to mitigate age-related changes to lipid metabolism and prevent cognitive decline in later life.
Excimer Laser-Deposited Na2/3Ni1/4Mn3/4O2 Film Cathode for Stable Sodium-Ion Battery
Authors: Lin Bailin , Dai Wei , Tao Junhui , Li Jie , Wang Chuanhui , Zhao Yang , Li Yiping , Chen Xinqi
Published: September 2022

Continued development of lithium-ion batteries is limited by the shortage of Li element. In this situation, the exploration of high-performance sodium-ion batteries is attracting much attention. In this experimental work, Na2/3Ni1/4Mn34O2 film cathode materials were fabricated by excimer laser deposition at different oxygen partial pressures. X-ray diffraction studies and field emission scanning electron microscopy revealed high c-axis orientation and uniform grain distribution, respectively, in the deposited films. Furthermore, after 30 cycles under a current density of 13 mA g−1, the film samples deposited at an oxygen partial pressure of 65 Pa exhibited a high capacity-retention of 91%. The film structure also had a large-current discharge performance, which makes practical applications possible.