bluuebunny/crossref_metadata_2025 huggingface dataset:
In Vitro and In Vivo Evaluation of Chitosan/HPMC/Insulin Hydrogel for Wound Healing Applications
Authors: Zanchetta Flávia Cristina , De Wever Pieter , Morari Joseane , Gaspar Rita Caiado , Prado Thaís Paulino do , De Maeseneer Tess , Cardinaels Ruth , Araújo Eliana Pereira , Lima Maria Helena Melo , Fardim Pedro
Published: February 2024

Treatment of chronic wounds is challenging, and the development of different formulations based on insulin has shown efficacy due to their ability to regulate oxidative stress and inflammatory reactions. The formulation of insulin with polysaccharides in biohybrid hydrogel systems has the advantage of synergistically combining the bioactivity of the protein with the biocompatibility and hydrogel properties of polysaccharides. In this study, a hydrogel formulation containing insulin, chitosan, and hydroxypropyl methyl cellulose (Chi/HPMC/Ins) was prepared and characterized by FTIR, thermogravimetric, and gel point analyses. The in vitro cell viability and cell migration potential of the Chi/HPMC/Ins hydrogel were evaluated in human keratinocyte cells (HaCat) by MTT and wound scratch assay. The hydrogel was applied to excisional full-thickness wounds in diabetic mice for twenty days for in vivo studies. Cell viability studies indicated no cytotoxicity of the Chi/HPMC/Ins hydrogel. Moreover, the Chi/HPMC/Ins hydrogel promoted faster gap closure in the scratch assay. In vivo, the wounds treated with the Chi/HPMC/Ins hydrogel resulted in faster wound closure, formation of a more organized granulation tissue, and hair follicle regeneration. These results suggest that Chi/HPMC/Ins hydrogels might promote wound healing in vitro and in vivo and could be a new potential dressing for wound healing.
The Glymphatic Response to the Development of Type 2 Diabetes
Authors: Boyd Edward D. , Zhang Li , Ding Guangliang , Li Lian , Lu Mei , Li Qingjiang , Huang Rui , Kaur Jasleen , Hu Jiani , Chopp Michael , Zhang Zhenggang , Jiang Quan
Published: February 2024

The glymphatic system has recently been shown to be important in neurological diseases, including diabetes. However, little is known about how the progressive onset of diabetes affects the glymphatic system. The aim of this study is to investigate the glymphatic system response to the progressive onset of diabetes in a rat model of type 2 diabetic mellitus. Male Wistar rats (n = 45) with and without diabetes were evaluated using MRI glymphatic tracer kinetics, functional tests, and brain tissue immunohistochemistry. Our data demonstrated that the contrast agent clearance impairment gradually progressed with the diabetic duration. The MRI data showed that an impairment in contrast clearance occurred prior to the cognitive deficits detected using functional tests and permitted the detection of an early DM stage compared to the immuno-histopathology and cognitive tests. Additionally, the quantitative MRI markers of brain waste clearance demonstrated region-dependent sensitivity in glymphatic impairment. The improved sensitivity of MRI markers in the olfactory bulb and the whole brain at an early DM stage may be attributed to the important role of the olfactory bulb in the parenchymal efflux pathway. MRI can provide sensitive quantitative markers of glymphatic impairment during the progression of DM and can be used as a valuable tool for the early diagnosis of DM with a potential for clinical application.
Intravenous Thrombolysis in Posterior versus Anterior Circulation Stroke: Clinical Outcome Differs Only in Patients with Large Vessel Occlusion
Authors: Halúsková Simona , Herzig Roman , Mikulík Robert , Bělašková Silvie , Reiser Martin , Jurák Lubomír , Václavík Daniel , Bar Michal , Klečka Lukáš , Řepík Tomáš , Šigut Vladimír , Tomek Aleš , Hlinovský David , Šaňák Daniel , Vyšata Oldřich , Vališ Martin ,   on behalf of the Czech SITS Investigators
Published: February 2024

The safety and efficacy of intravenous thrombolysis (IVT) are well established in anterior circulation stroke (ACS) but are much less clear for posterior circulation stroke (PCS). The aim of this study was to evaluate the occurrence of parenchymal hematoma (PH) and 3-month clinical outcomes after IVT in PCS and ACS. In an observational, cohort multicenter study, we analyzed data from ischemic stroke patients treated with IVT prospectively collected in the SITS (Safe Implementation of Treatments in Stroke) registry in the Czech Republic between 2004 and 2018. Out of 10,211 patients, 1166 (11.4%) had PCS, and 9045 (88.6%) ACS. PH was less frequent in PCS versus ACS patients: 3.6 vs. 5.9%, odds ratio (OR) = 0.594 in the whole set, 4.4 vs. 7.8%, OR = 0.543 in those with large vessel occlusion (LVO), and 2.2 vs. 4.7%, OR = 0.463 in those without LVO. At 3 months, PCS patients compared with ACS patients achieved more frequently excellent clinical outcomes (modified Rankin scale [mRS] 0–1: 55.5 vs. 47.6%, OR = 1.371 in the whole set and 49.2 vs. 37.6%, OR = 1.307 in those with LVO), good clinical outcomes (mRS 0–2: 69.9 vs. 62.8%, OR = 1.377 in the whole set and 64.5 vs. 50.5%, OR = 1.279 in those with LVO), and had lower mortality (12.4 vs. 16.6%, OR = 0.716 in the whole set and 18.4 vs. 25.5%, OR = 0.723 in those with LVO) (p < 0.05 in all cases). In PCS versus ACS patients, an extensive analysis showed a lower risk of PH both in patients with and without LVO, more frequent excellent and good clinical outcomes, and lower mortality 3 months after IVT in patients with LVO.
An Agent-Based Model to Reproduce the Boolean Logic Behaviour of Neuronal Self-Organised Communities through Pulse Delay Modulation and Generation of Logic Gates
Authors: Irastorza-Valera Luis , Benítez José María , Montáns Francisco J. , Saucedo-Mora Luis
Published: February 2024

The human brain is arguably the most complex “machine” to ever exist. Its detailed functioning is yet to be fully understood, let alone modelled. Neurological processes have logical signal-processing and biophysical aspects, and both affect the brain’s structure, functioning and adaptation. Mathematical approaches based on both information and graph theory have been extensively used in an attempt to approximate its biological functioning, along with Artificial Intelligence frameworks inspired by its logical functioning. In this article, an approach to model some aspects of the brain learning and signal processing is presented, mimicking the metastability and backpropagation found in the real brain while also accounting for neuroplasticity. Several simulations are carried out with this model to demonstrate how dynamic neuroplasticity, neural inhibition and neuron migration can reshape the brain’s logical connectivity to synchronise signal processing and obtain certain target latencies. This work showcases the importance of dynamic logical and biophysical remodelling in brain plasticity. Combining mathematical (agents, graph theory, topology and backpropagation) and biomedical ingredients (metastability, neuroplasticity and migration), these preliminary results prove complex brain phenomena can be reproduced—under pertinent simplifications—via affordable computations, which can be construed as a starting point for more ambitiously accurate simulations.
Capillary Wicking on Heliamphora minor-Mimicking Mesoscopic Trichomes Array
Authors: Chen Fenglin , Cheng Ziyang , Jiang Lei , Dong Zhichao
Published: February 2024

Liquid spontaneously spreads on rough lyophilic surfaces, and this is driven by capillarity and defined as capillary wicking. Extensive studies on microtextured surfaces have been applied to microfluidics and their corresponding manufacturing. However, the imbibition at mesoscale roughness has seldom been studied due to lacking fabrication techniques. Inspired by the South American pitcher plant Heliamphora minor, which wicks water on its pubescent inside wall for lubrication and drainage, we implemented 3D printing to fabricate a mimetic mesoscopic trichomes array and investigated the high-flux capillary wicking process. Unlike a uniformly thick climbing film on a microtextured surface, the interval filling of millimeter-long and submillimeter-pitched trichomes creates a film of non-uniform thickness. Different from the viscous dissipation that dominated the spreading on microtextured surfaces, we unveiled an inertia-dominated transition regime with mesoscopic wicking dynamics and constructed a scaling law such that the height grows to 2/3 the power of time for various conditions. Finally, we examined the mass transportation inside the non-uniformly thick film, mimicking a plant nutrition supply method, and realized an open system siphon in the film, with the flux saturation condition experimentally determined. This work explores capillary wicking in mesoscopic structures and has potential applications in the design of low-cost high-flux open fluidics.
Magnetoencephalography (MEG) Data Processing in Epilepsy Patients with Implanted Responsive Neurostimulation (RNS) Devices
Authors: Askari Pegah , Cardoso da Fonseca Natascha , Pruitt Tyrell , Maldjian Joseph A. , Alick-Lindstrom Sasha , Davenport Elizabeth M.
Published: February 2024

Drug-resistant epilepsy (DRE) is often treated with surgery or neuromodulation. Specifically, responsive neurostimulation (RNS) is a widely used therapy that is programmed to detect abnormal brain activity and intervene with tailored stimulation. Despite the success of RNS, some patients require further interventions. However, having an RNS device in situ is a hindrance to the performance of neuroimaging techniques. Magnetoencephalography (MEG), a non-invasive neurophysiologic and functional imaging technique, aids epilepsy assessment and surgery planning. MEG performed post-RNS is complicated by signal distortions. This study proposes an independent component analysis (ICA)-based approach to enhance MEG signal quality, facilitating improved assessment for epilepsy patients with implanted RNS devices. Three epilepsy patients, two with RNS implants and one without, underwent MEG scans. Preprocessing included temporal signal space separation (tSSS) and an automated ICA-based approach with MNE-Python. Power spectral density (PSD) and signal-to-noise ratio (SNR) were analyzed, and MEG dipole analysis was conducted using single equivalent current dipole (SECD) modeling. The ICA-based noise removal preprocessing method substantially improved the signal-to-noise ratio (SNR) for MEG data from epilepsy patients with implanted RNS devices. Qualitative assessment confirmed enhanced signal readability and improved MEG dipole analysis. ICA-based processing markedly enhanced MEG data quality in RNS patients, emphasizing its clinical relevance.
Research Perspectives on Buildings’ Sustainability after COVID-19: Literature Review and Analysis of Changes
Authors: Coraglia Ugo Maria , Simeone Davide , Bragadin Marco Alvise
Published: February 2024

The concept of sustainability introduced in 1987 has characterised the world of research in the AEC (Architecture, Engineering, and Construction) sector, directing it to try to tackle the problems inherent to the impacts of climate change on buildings. In addition, the advent of COVID-19, disrupting the world and people’s habits, has obviously also strongly affected the academic world. Indeed, this paper aims to analyse the changes and differences between the pre- and post-pandemic periods through a two-stage hybrid literature review. First, through a systematic literature review, 90 articles were selected, filtered through different keywords (sustainability, climate, architecture, and buildings). Once the reasoned selection of papers had been made, it was possible to proceed to the second phase, which involved a thematic analysis according to the three classic macro themes of sustainability (Environment, Social, and Economic) and the inclusion of a fourth macro theme (Management and Development), which made it possible to reintroduce a holistic view of the problem. The results of this literature review revealed the presence of a growing interest in the topic analysed and a more homogenous distribution across all continents, with no distinction between developed and developing countries. Economic sustainability interests emerge post-COVID-19 through the deepening of the themes of clean energy and direct control of consumption. At the level of Environmental sustainability, on the other hand, COVID-19 replaced the house at the centre of people’s lives. In addition, the Management and Development macro theme highlighted the need for an integrated view of the problem and the unexpected return of researchers preferring new constructions, which, despite alternative green approaches and renovations, can guarantee better performance.
Global Burden of Pancreatic Cancer Attributable to High Body-Mass Index in 204 Countries and Territories, 1990–2019
Authors: Ilic Irena , Ilic Milena
Published: February 2024

(1) Background: This study aimed to assess the global burden of pancreatic cancer attributable to a high BMI in 1990–2019. (2) Methods: An ecological study was carried out. Data about deaths and Disability-Adjusted Life Years (DALYs) for pancreatic cancer were extracted from the Global Burden of Disease (GBD) study. The age-standardized rates (ASRs, per 100,000) were presented. In order to determine trends of pancreatic cancer burden, joinpoint regression analysis was used to calculate the average annual percent change (AAPC). (3) Results: The highest ASRs of DALYs of pancreatic cancer were found in the United Arab Emirates (47.5 per 100,000), followed by countries with about 25.0 per 100,000 (such as Hungary, Czechia, and Montenegro). From 1990 to 2019, the ASRs of deaths and DALYs of pancreatic cancer attributable to a high BMI significantly increased (p < 0.001) for both sexes in all ages, and across all SDI quintiles and all GBD regions. The highest fraction of DALYs attributable to a high BMI was found in the United States of America and China (equally about 15.0%), followed by the Russian Federation, India, Germany, and Brazil (about 5.0%, equally). (4) Conclusions: Further analytical epidemiological studies are necessary to elucidate the relationship between pancreatic cancer and a high BMI.
Association between Inappropriate End-of-Life Cancer Care and Specialist Palliative Care: A Retrospective Observational Study in Two Acute Care Hospitals
Authors: Boddaert Manon S. , Fransen Heidi P. , de Nijs Ellen J. M. , van Gerven Dagmar , Spierings Leontine E. A. , Raijmakers Natasja J. H. , van der Linden Yvette M.
Published: February 2024

A substantial number of patients with life-threatening illnesses like cancer receive inappropriate end-of-life care. Improving their quality of end-of-life care is a priority for patients and their families and for public health. To investigate the association between provision, timing, and initial setting of hospital-based specialist palliative care and potentially inappropriate end-of-life care for patients with cancer in two acute care hospitals in the Netherlands, we conducted a retrospective observational study using hospital administrative databases. All adults diagnosed with or treated for cancer in the year preceding their death in 2018 or 2019 were included. The main exposure was hospital-based specialist palliative care initiated >30 days before death. The outcome measures in the last 30 days of life were six quality indicators for inappropriate end-of-life care (≥2 ED-visits, ≥2 hospital admissions, >14 days hospitalization, ICU-admission, chemotherapy, hospital death). We identified 2603 deceased patients, of whom 14% (n = 359) received specialist palliative care >30 days before death (exposure group). Overall, 27% (n = 690) received potentially inappropriate end-of-life care: 19% in the exposure group, versus 28% in the non-exposure group (p < 0.001). The exposure group was 45% less likely to receive potentially inappropriate end-of-life care (AOR 0.55; 95% CI 0.41 to 0.73). Early (>90 days) and late (≤90 and >30 days) initiation of specialist palliative care, as well as outpatient and inpatient initiation, were all associated with less potentially inappropriate end-of-life care (AOR 0.49; 0.62; 0.32; 0.64, respectively). Thus, timely access to hospital-based specialist palliative care is associated with less potentially inappropriate end-of-life care for patients with cancer. The outpatient initiation of specialist palliative care seems to enhance this result.
Treatment of Pediatric Acute Lymphoblastic Leukemia: A Historical Perspective
Authors: Hayashi Hiroshi , Makimoto Atsushi , Yuza Yuki
Published: February 2024

Acute lymphoblastic leukemia (ALL) is the most common disease in pediatric oncology. The history of developmental therapeutics for ALL began in the 1960s with the repetition of “unreliable” medical interventions against this lethal disease. By the 1990s, the development of multi-agent chemotherapy and various types of supportive care rendered ALL treatable. Highly sophisticated, molecular, diagnostic techniques have enabled highly accurate prediction of the relapse risk, and the application of risk-adapted treatments has increased the survival rate in the standard-risk group to nearly 100% in most European nations and North America. Incorporation of state-of-the-art, molecularly targeted agents and novel treatments, including cell and immunotherapy, is further improving outcomes even in the high-risk group. On the other hand, the financial burden of treating children with ALL has increased, imperiling the availability of these diagnostic and treatment strategies to patients in low- and middle-income countries (LMICs). The fundamental treatment strategy, consisting of corticosteroid and classical cytotoxic therapy, has achieved fairly good outcomes and should be feasible in LMICs as well. The present review will discuss the history of developmental therapeutics for childhood ALL in various countries through an extensive literature review with the aim of proposing a model for a treatment backbone for pediatric ALL. The discussion will hopefully benefit LMICs and be useful as a base for future clinical trials of novel treatments.
Improved Accuracy and Sensitivity in Diagnosis and Staging of Lung Cancer with Systematic and Combined Endobronchial and Endoscopic Ultrasound (EBUS-EUS): Experience from a Tertiary Center
Authors: Badaoui Abdenor , De Wergifosse Marion , Rondelet Benoit , Deprez Pierre H. , Stanciu-Pop Claudia , Bairy Laurent , Eucher Philippe , Delos Monique , Ocak Sebahat , Gillain Cédric , Duplaquet Fabrice , Pirard Lionel
Published: February 2024

Background: Combined endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) and endoscopic ultrasound-guided tissue acquisition (EUS-TA) are accurate procedures for the diagnosis and staging of mediastinal lymph nodes (MLNs) in lung cancer. However, the respective contribution of separate and combined procedures in diagnosis and staging has not been fully studied. The aim of this study was to assess their respective performances. Methods: Patients with suspected malignant MLNs in lung cancer or recurrence identified by PET-CT who underwent combined EBUS-TBNA and EUS-TA were retrospectively reviewed. Results: A total of 141 patients underwent both procedures. Correct diagnosis was obtained in 82% with EBUS-TBNA, 91% with EUS-TA, and 94% with the combined procedure. The overall sensitivity, specificity, and positive and negative predictive values (PPV and NPV) of EBUS-TBNA, EUS-TA, and the combined procedure for diagnosing malignancy were [75%, 100%, 100%, 58%], [87%, 100%, 100%, 75%], and [93%, 100%, 100%, 80%], respectively, with a significantly better sensitivity of the combined procedure (p < 0.0001). Staging (82/141 patients) was correctly assessed in 74% with EBUS-TBNA, 68% with EUS-TA, and 85% with the combined procedure. The overall sensitivity, specificity, PPV, and NPV of EBUS-TBNA, EUS-TA, and the combined procedure for lung cancer staging were [62%, 100%, 100%, 55%], [54%, 100%, 100%, 50%], and [79%, 100%, 100%, 68%], respectively, significantly better in terms of sensitivity for the combined procedure (p < 0.001). Conclusion: The combined EBUS-EUS approach in lung cancer patients showed better accuracy and sensitivity in diagnosis and staging when compared with EBUS-TBNA and EUS-TA alone.
Epigenetic Targeting to Overcome Radioresistance in Head and Neck Cancer
Authors: Schniewind Iñaki , Besso Maria José , Klicker Sebastian , Schwarz Franziska Maria , Hadiwikarta Wahyu Wijaya , Richter Susan , Löck Steffen , Linge Annett , Krause Mechthild , Dubrovska Anna , Baumann Michael , Kurth Ina , Peitzsch Claudia
Published: February 2024

(1) Background: The sensitivity of head and neck squamous cell carcinoma (HNSCC) to ionizing radiation, among others, is determined by the number of cells with high clonogenic potential and stem-like features. These cellular characteristics are dynamically regulated in response to treatment and may lead to an enrichment of radioresistant cells with a cancer stem cell (CSC) phenotype. Epigenetic mechanisms, particularly DNA and histone methylation, are key regulators of gene-specific transcription and cellular plasticity. Therefore, we hypothesized that specific epigenetic targeting may prevent irradiation-induced plasticity and may sensitize HNSCC cells to radiotherapy. (2) Methods: We compared the DNA methylome and intracellular concentrations of tricarboxylic acid cycle metabolites in radioresistant FaDu and Cal33 cell lines with their parental controls, as well as aldehyde dehydrogenase (ALDH)-positive CSCs with negative controls. Moreover, we conducted a screen of a chemical library targeting enzymes involved in epigenetic regulation in combination with irradiation and analyzed the clonogenic potential, sphere formation, and DNA repair capacity to identify compounds with both radiosensitizing and CSC-targeting potential. (3) Results: We identified the histone demethylase inhibitor GSK-J1, which targets UTX (KDM6A) and JMJD3 (KDM6B), leading to increased H3K27 trimethylation, heterochromatin formation, and gene silencing. The clonogenic survival assay after siRNA-mediated knock-down of both genes radiosensitized Cal33 and SAS cell lines. Moreover, high KDM6A expression in tissue sections of patients with HNSCC was associated with improved locoregional control after primary (n = 137) and post-operative (n = 187) radio/chemotherapy. Conversely, high KDM6B expression was a prognostic factor for reduced overall survival. (4) Conclusions: Within this study, we investigated cellular and molecular mechanisms underlying irradiation-induced cellular plasticity, a key inducer of radioresistance, with a focus on epigenetic alterations. We identified UTX (KDM6A) as a putative prognostic and therapeutic target for HNSCC patients treated with radiotherapy.
Machine-Learning-Based Classification Model to Address Diagnostic Challenges in Transbronchial Lung Biopsy
Authors: Sano Hisao , Okoshi Ethan N. , Tachibana Yuri , Tanaka Tomonori , Lami Kris , Uegami Wataru , Ohta Yoshio , Brcic Luka , Bychkov Andrey , Fukuoka Junya
Published: February 2024

Background: When obtaining specimens from pulmonary nodules in TBLB, distinguishing between benign samples and mis-sampling from a tumor presents a challenge. Our objective is to develop a machine-learning-based classifier for TBLB specimens. Methods: Three pathologists assessed six pathological findings, including interface bronchitis/bronchiolitis (IB/B), plasma cell infiltration (PLC), eosinophil infiltration (Eo), lymphoid aggregation (Ly), fibroelastosis (FE), and organizing pneumonia (OP), as potential histologic markers to distinguish between benign and malignant conditions. A total of 251 TBLB cases with defined benign and malignant outcomes based on clinical follow-up were collected and a gradient-boosted decision-tree-based machine learning model (XGBoost) was trained and tested on randomly split training and test sets. Results: Five pathological changes showed independent, mild-to-moderate associations (AUC ranging from 0.58 to 0.75) with benign conditions, with IB/B being the strongest predictor. On the other hand, FE emerged to be the sole indicator of malignant conditions with a mild association (AUC = 0.66). Our model was trained on 200 cases and tested on 51 cases, achieving an AUC of 0.78 for the binary classification of benign vs. malignant on the test set. Conclusion: The machine-learning model developed has the potential to distinguish between benign and malignant conditions in TBLB samples excluding the presence or absence of tumor cells, thereby improving diagnostic accuracy and reducing the burden of repeated sampling procedures for patients.
Tumor Copy Number Alteration Burden as a Predictor for Resistance to Immune Checkpoint Blockade across Different Cancer Types
Authors: Asleh Karama , Ouellette Rodney J.
Published: February 2024

Immune checkpoint blockade (ICB) benefits only a subset of advanced cancer patients, and predictive biomarkers for immunotherapy response are needed. Recently, copy number alteration (CNA) burden has been proposed to predict ICB resistance. We assessed this finding using the publicly accessible data for 1661 ICB-treated patients whose tumors were profiled by MSK-IMPACT, an approved targeted assay in clinical care. We tested the hypothesis that the continuous increase in CNA burden is associated with poor overall survival following ICB. In addition, we hypothesized that the combinatorial biomarkers of tumor mutational burden (TMB) and CNA burden would better stratify patients for immune status and ICB response. Of the 1661 cases, 79% (n = 1307) were treated with anti PD-1/PD-L1 and the remaining 21% (n = 354) with anti CTLA-4 or the combination of both. In a multivariate analysis, increase in CNA burden was associated with poor overall survival [HR = 1.52, 95% CI (1.01–2.30), p = 0.04]. The combination of biomarkers TMB and CNA burden stratified patients into four clinically distinct subsets among which “LowTMB/HighCNA” showed the worst survival (p < 0.0001). The four patient subsets had unique CNA profiles and enriched pathways, which could predict transcriptional and phenotypic effects related to immune signaling and CD8+ T-cell abundance in the tumor microenvironment. CNA burden was associated with poor overall survival in patients receiving ICB and could improve patient stratification when incorporated with TMB. These findings may guide patient selection for immunotherapy or alternative strategies.
Carbon Instrumentation in Patients with Metastatic Spinal Cord Compression
Authors: Schmidt Morgen Søren , Alfthan Madsen Emma Benedikte , Skive Weiland Anders , Dahl Benny , Gehrchen Martin
Published: February 2024

Recently carbon spinal implants have been introduced in the treatment of patients with metastatic spinal cord compression (MSCC). This is expected to decrease the deflection of radiation and improve diagnostic imaging and radiotherapy when compared to titanium implants. The aim of this study was to determine the safety and effectiveness of spinal carbon instrumentation (CI) in patients with MSCC in a large cohort study. A total of 163 patients received instrumentation between 1 January 2017 and 31 December 2021. A total of 80 were stabilized with CI and 83 with TI. The outcome measures were surgical revision, postsurgical survival, peri-operative bleeding, and surgery time. The peri-operative blood loss in the CI-group was significantly lower than that in the TI-group: 450mL vs. 630mL, (p = 0.02). There were no significant differences between the groups in mean survival (CI 9.9) vs. (TI 12.9) months (p = 0.39), or the number of patients needing a revision (CI 6) vs. (TI 10), (p = 0.39). The median duration of surgery was 121 min, (p = 0.99) with no significant difference between the two groups. Surgical treatment with CI for MSCC is safe and an equally sufficient treatment when compared to TI.
Easy-to-Use Chemiluminescent-Based Assay for a Rapid and Low-Cost Evaluation of the Antioxidant Activity of Cosmetic Products
Authors: Pour Seyedeh Rojin Shariati , Calabria Donato , Nascetti Augusto , Caputo Domenico , De Cesare Giampiero , Guardigli Massimo , Zangheri Martina , Mirasoli Mara
Published: February 2024

New cosmetic formulations are continuously requested by the market and the ingredients are constantly evolving. Recently the use of antioxidants has gained success and, in this context, analytical methods able to quickly and easily assess the antioxidant activity of cosmetics would make it possible to carry out analyses on new formulations even within the manufacturing process without the need for specialized laboratories and personnel, thus evaluating directly on-site the effectiveness and the shelf life of products. In this work, a chemiluminescent inhibition assay was developed for determining the total antioxidant activity in cosmetic products. The method was based on the luminol/enhancers/hydrogen peroxide/horseradish peroxidase chemiluminescent system, which generates light signals measurable through simple and compact instrumentation. The formation of the chemiluminescent signal is inhibited by the presence of antioxidant substances while it is restored once all the antioxidant molecules have been oxidized. The time of appearance of the light signal is related to the total antioxidant activity. The assay was carried out exploiting an integrated device comprising a microwell plate coupled with an array of amorphous silicon hydrogenated photosensors enclosed in a mini-dark box. The method was optimized in terms of concentrations and volumes of the required reagents and sample pre-treatment. A calibration curve was generated taking as a reference the antioxidant activity of ascorbic acid obtaining a detection limit of 10 µM. The developed method was applied to cosmetic products currently on the market as well as on spiked samples in order to evaluate the performance of the methods in terms of sensitivity, accuracy, and reproducibility.
Once-Weekly Somapacitan as an Alternative Management of Growth Hormone Deficiency in Prepubertal Children: A Systematic Review and Meta-Analysis of Randomized Controlled Trial
Authors: Tsurayya Ghina , Nazhifah Cut Alifiya , Pirwanja Muhammad Rahmat , Zulfa Putri Oktaviani , Tatroman Muhammad Raihan Ramadhan , Fakri Fajar , Iqhrammullah Muhammad
Published: February 2024

Growth hormone treatment has effectively restored normal growth in children with growth hormone deficiency (GHD); however, it poses challenges in compliance with a daily growth hormone injection regimen, leading to low adherence and persistence rates. Once-weekly Somapacitan is a potential alternative for treating children with GHD. This study aimed to evaluate the efficacy, safety, and adherence of once-weekly subcutaneous Somapacitan compared to daily growth hormone injection in prepubertal children with GHD. A search for the published records was carried out on 17 October 2023 utilizing the searching feature available on PubMed, Embase, and Scopus. Primary study outcomes included (1) efficacy, measured by height velocity (HV), standard deviation score (SDs), height SDs, insulin-like growth factor-SDs (IGF-I SDs), and bone age vs. chronological age ratio (BA vs. CA); (2) safety, assessed through adverse events and injection site reactions; and (3) adherence, determined by the percentage of the sample completing treatments. Secondary outcomes evaluated disease burden scores, divided into three subgroup domains: emotional well-being, physical functional, and social well-being scores. We retrieved 6 studies that were eligible for the systematic review (417 versus 186 for intervention and control, respectively). Only 2 of the total included studies were eligible for pooled analysis (175 versus 82 for intervention and control, respectively). The efficacy profile of Somapacitan was similar to daily growth hormones, indicated by HV (mean difference (MD = 0.04; p = 0.96), HV SDs (MD = −0.71; p = 0.09), height SDs (MD = 0.11; p = 0.69), IGF-I SDs (MD = 0.06; p = 0.70), and CA vs. BA (MD = 0.67; p = 0.70)), demonstrated similar and non-inferior outcomes. Treatment adherence is 3 times higher in the Somapacitan group as compared to control (OR = 3.02; p = 0.03) with adherence rates reaching 95% and 88% for Somapacitan and Norditropin®, respectively. The disease burden measurement is similar in Somapacitan and daily growth hormones (MD = −0.62; p = 0.83), as indicated by the Growth Hormone Deficiency–Child Impact Measure. In almost all outcomes, the level of confidence is strong. The confidence level in the data is generally strong, but for CA vs. BA and the subgroup of severe adverse events with heterogeneity >50%, the confidence level is moderate. Although the efficacy and safety profiles of Somapacitan were found to be similar to those of daily growth hormones, a reduced frequency of once-weekly Somapacitan injections led to increased adherence. PROSPERO registration: CRD42023473209.
Innovative Approaches to an Eco-Friendly Cosmetic Industry: A Review of Sustainable Ingredients
Authors: Sasounian Rafaela , Martinez Renata Miliani , Lopes André Moreni , Giarolla Jeanine , Rosado Catarina , Magalhães Wagner Vidal , Velasco Maria Valéria Robles , Baby André Rolim
Published: February 2024

Sustainable ingredients in cosmetics have been discussed for the past decade, and the COVID-19 pandemic has increased awareness of this significant topic. Consumers are informed and vigilant about clean labels, driving the necessity for sustainability throughout the cosmetic production chain. Moreover, nanotechnology and green chemistry approaches have emerged as innovative perspectives to develop sustainable and eco-friendly cosmetic ingredients. In this sense, in this review, we present examples and applications of sustainable ingredients derived from several types of sources (i.e., plants, animals, microorganisms, cell cultures, and recycled materials/biomaterials). The benefits and drawbacks of all classes of compounds were organized and discussed in relation to novel formulations/products. Finally, we addressed perspectives on cosmetic ingredients that prioritize sustainability and safety, with an emphasis on exploring sustainable ingredients, compounds, or molecules as promising areas for research and development.
Influence of Climatic Factors on the Occurrence of Vibrio parahaemolyticus Food Poisoning in the Republic of Korea
Authors: Kim Jong-Gyu
Published: February 2024

This study aimed to investigate the outbreaks and characteristics of Vibrio parahaemolyticus food poisoning in the Republic of Korea and the impact of climatic factors on the food poisoning occurrence. All data were obtained from the official statistics of the Republic of Korea (2002 to 2017). A trend analysis, Pearson’s correlation analysis, and regression analysis were used to determine the relationship between the outbreaks of V. parahaemolyticus food poisoning and climatic factors. During the study period, the number of outbreaks of V. parahaemolyticus food poisoning ranked third among bacterial food poisoning. The food poisoning incidences of V. parahaemolyticus occurred mostly from July to September. The average temperature, maximum and minimum temperatures, precipitation, number of days with rainfall, and humidity showed a significant positive correlation with the number of outbreaks of V. parahaemolyticus food poisoning (p < 0.001), but daytime hours showed a negative correlation (p < 0.01). The data further indicated that minimum temperature was the most influential variable on the outbreaks of food poisoning (p < 0.01). These results indicate that the outbreaks of V. parahaemolyticus food poisoning in the Republic of Korea are associated with climatic factors, suggesting that these incidences may have been impacted by climate change, especially due to warming around the Korean peninsula.
Does Crude Oil Production Respond Differently to Oil Supply and Demand Shocks? Evidence from Alaska
Authors: Baek Jungho
Published: February 2024

The paper conducts extensive research on how Alaska’s oil production is affected by shocks in oil supply, aggregate demand, and oil-specific demand under both symmetric and asymmetric scenarios. We demonstrate that employing an empirical model with the inclusion of an asymmetric assumption provides a more suitable approach for comprehensively understanding the short and long-term impacts of various oil shocks on Alaska’s oil production. We also find that Alaska’s oil production is significantly affected by oil supply and aggregate demand shocks over both short and long periods, whereas oil-specific demand shocks have a minimal impact. Finally, our research identifies asymmetric effects in the long term, particularly concerning the influence of aggregate demand and oil-specific demand shocks on Alaska’s oil production. However, no asymmetric effects are observed for the three oil shocks in the short term.
First Report on Three Lesser-Known Magelona Species from Korean Waters: Details of All Thoracic Chaetigers and Methyl Green Staining Patterns
Authors: Kim Dae-Hun , Kwon In-Yeong , Soh Ho-Young , Jeong Man-Ki
Published: February 2024

This study assessed the taxonomic statuses of three lesser-known Magelona F. Müller, 1858 species collected from intertidal to sublittoral habitats in Korean coastal waters, basing identification on morphological features and comparing them with their closest congeners. We present a comprehensive description and illustration of taxonomically significant and standardized characters, covering all thoracic chaetigers of three newly discovered Magelona species from Korea. Within the documented Korean Magelona species, these three species exhibit the following distinctive characteristics. Magelona sachalinensis Buzhinskaja, 1985, possess diminutive superior dorsal lobes in the initial four chaetigers and specialized chaetae on chaetiger 9; Magelona lenticulata Gallardo, 1968, is characterized by foliaceous postchaetal superior dorsal lobes in chaetigers 1–8; and Magelona cf. longicornis Johnson, 1901, is distinguished by notably elongated noto- and neuropodial postchaetal lamellae on chaetiger 9. Methyl green staining patterns showed species-specific characteristics and were confirmed to be effective in distinguishing the examined Korean species from each other and useful for making comparisons with previously reported Magelona species. Our study suggests that further comprehensive research on the morphological and genetic characteristics of Magelona species will enhance our understanding of their diversity.
Conflicting Marks Archive Dataset: A Dataset of Conflicting Marks from the Brazilian Intellectual Property Office
Authors: Reis Igor Bezerra , Leite Rafael Ângelo Santos , Torres Mateus Miranda , Neto Alcides Gonçalves da Silva , Silva Francisco José da Silva e , Teles Ariel Soares
Published: February 2024

A registered trademark represents one of a company’s most valuable intellectual assets, acting as a safeguard against possible reputational damage and financial losses resulting from infringements of this intellectual property. To be registered, a mark must be unique and distinctive in relation to other trademarks which are already registered. In this paper, we describe the CMAD, an acronym for Conflicting Marks Archive Dataset. This dataset has been meticulously organized into pairs of marks (Number of pairs = 18,355) involved in copyright infringement across word, figurative and mixed marks. Organizations sought to register these marks with the National Institute of Industrial Property (INPI) in Brazil, and had their applications denied after analysis by intellectual property specialists. The robustness of this dataset is ensured by the intrinsic similarity of the conflicting marks, since the decisions were made by INPI specialists. This characteristic provides a reliable basis for the development and testing of tools designed to analyze similarity between marks, thus contributing to the evolution of practices and computer-based solutions in the field of intellectual property.
Beta-Thalassemia: A Pharmacological Drug-Based Treatment
Authors: Biswas Shrabonti , Smrity Shanita Zaman , Bhuia Md. Shimul , Sonia Fatema Akter , Aktar Mst. Asma , Chowdhury Raihan , Islam Tawhida , Islam Muhammad Torequl , Gonçalves Alencar Gabriel , Paulo Cicera Laura Roque , Diniz Gurgel Ana Pavla Almeida , Coutinho Henrique Douglas Melo
Published: February 2024

This review was performed to determine the potential of drugs that can remove or decrease the requirements for blood transfusion among beta (β)-thalassemia patients. A comprehensive literature search was conducted to identify clinical trials and studies using PubMed Central, Google Scholar, PubMed, and ScienceDirect archived articles published from 1996 to November 2023. According to this review, clinical trials for a number of drugs, including luspatercept, sotatercept, mitapivat, etavopivat, hydroxyurea, rapamycin, decitabine, thalidomide, and quercetin, have been performed as part of efforts to improve the cure strategy for β-thalassemia. Of these drugs, luspatercept and sotatercept have exhibited particularly promising results and have been granted US Food and Drug Administration (FDA) approval for use in β-thalassemia patients. The mode of action for the drugs luspatercept and sotatercept involves the stimulation of hemoglobin (Hb) production or enhancement of its functionality, thereby decreasing reliance on blood transfusions and enhancing the overall quality of life. In this way, drugs like luspatercept and sotatercept present an opportunity to notably decrease the necessity for blood transfusions in β-thalassemia patients, improving their standard of living and overall prognosis. However, more research is needed to evaluate the effectiveness and safety of these drugs in the long run.
A Novel Wind Turbine Rolling Element Bearing Fault Diagnosis Method Based on CEEMDAN and Improved TFR Demodulation Analysis
Authors: Zhang Dahai , Wang Yiming , Jiang Yongjian , Zhao Tao , Xu Haiyang , Qian Peng , Li Chenglong
Published: February 2024

Among renewable energy sources, wind energy is regarded as one of the fastest-growing segments, which plays a key role in enhancing environmental quality. Wind turbines are generally located in remote and harsh environments. Bearings are a crucial component in wind turbines, and their failure is one of the most frequent reasons for system breakdown. Wind turbine bearing faults are usually very localized during their early stages which is precisely when they need to be detected. Hence, the early diagnosis of bearing faults holds paramount practical significance. In order to solve the problem of weak pulses being masked by noise in early failure signals of rolling element bearings, a novel fault diagnosis method is proposed based on the combination of complete ensemble empirical mode decomposition with adaptive noise (CEEMDAN) and an improved TFR demodulation method. Initially, the decomposition of vibration signals using CEEMDAN is carried out to obtain several intrinsic mode functions (IMFs). Subsequently, a novel KC indicator that combines kurtosis and the correlation function is designed to select the effective components for signal reconstruction. Finally, an innovative approach based on the continuous wavelet transform (CWT) for multi-scale demodulation analysis in the domain of time–frequency representation (TFR) is also introduced to extract the envelope spectrum. Further fault diagnosis can be achieved by the identification of the fault characteristic frequency (FCF). This study focuses on the theoretical exploration of bearing faults diagnosis algorithms, employing modeling and simulation techniques. The effectiveness and feasibility of the proposed method are validated through the analysis of simulated signals and experimental signals provided by the Center for Intelligent Maintenance Systems (IMS) of the University of Cincinnati and the Case Western Reserve University (CWRU) Bearing Data Center. The method demonstrates the capability to identify various types of bearing faults, including outer race and inner race faults, with a high degree of computational efficiency. Comparative analysis indicates a significant enhancement in fault diagnostic performance when compared to existing methods. This research contributes to the advancement of effective bearing fault diagnosis methodologies for wind turbines, thereby ensuring their reliable operation.
Research on Wellbore Stability in Deepwater Hydrate-Bearing Formations during Drilling
Authors: Sun Ting , Wen Zhiliang , Yang Jin
Published: February 2024

Marine gas hydrate formations are characterized by considerable water depth, shallow subsea burial, loose strata, and low formation temperatures. Drilling in such formations is highly susceptible to hydrate dissociation, leading to gas invasion, wellbore instability, reservoir subsidence, and sand production, posing significant safety challenges. While previous studies have extensively explored multiphase flow dynamics between the formation and the wellbore during conventional oil and gas drilling, a clear understanding of wellbore stability under the unique conditions of gas hydrate formation drilling remains elusive. Considering the effect of gas hydrate decomposition on formation and reservoir frame deformation, a multi-field coupled mathematical model of seepage, heat transfer, phase transformation, and deformation of near-wellbore gas hydrate formation during drilling is established in this paper. Based on the well logging data of gas hydrate formation at SH2 station in the Shenhu Sea area, the finite element method is used to simulate the drilling conditions of 0.1 MPa differential pressure underbalance drilling with a borehole opening for 36 h. The study results demonstrate a significant tendency for wellbore instability during the drilling process in natural gas hydrate formations, largely due to the decomposition of hydrates. Failure along the minimum principal stress direction in the wellbore wall begins to manifest at around 24.55 h. This is accompanied by an increased displacement velocity of the wellbore wall towards the well axis in the maximum principal stress direction. By 28.07 h, plastic failure is observed around the entire circumference of the well, leading to wellbore collapse at 34.57 h. Throughout this process, the hydrate decomposition extends approximately 0.55 m, predominantly driven by temperature propagation. When hydrate decomposition is taken into account, the maximum equivalent plastic strain in the wellbore wall is found to increase by a factor of 2.1 compared to scenarios where it is not considered. These findings provide crucial insights for enhancing the safety of drilling operations in hydrate-bearing formations.