bluuebunny/crossref_metadata_2025 huggingface dataset:
Biosensing of Alpha-Fetoprotein: A Key Direction toward the Early Detection and Management of Hepatocellular Carcinoma
Authors: Ramachandran Lohit , Abul Rub Farah , Hajja Amro , Alodhaibi Ibrahim , Arai Momo , Alfuwais Mohammed , Makhzoum Tariq , Yaqinuddin Ahmed , Al-Kattan Khaled , Assiri Abdullah M. , Broering Dieter C. , Chinnappan Raja , Mir Tanveer Ahmad , Mani Naresh Kumar
Published: May 2024

Hepatocellular carcinoma (HCC) is currently one of the most prevalent cancers worldwide. Associated risk factors include, but are not limited to, cirrhosis and underlying liver diseases, including chronic hepatitis B or C infections, excessive alcohol consumption, nonalcoholic fatty liver disease (NAFLD), and exposure to chemical carcinogens. It is crucial to detect this disease early on before it metastasizes to adjoining parts of the body, worsening the prognosis. Serum biomarkers have proven to be a more accurate diagnostic tool compared to imaging. Among various markers such as nucleic acids, circulating genetic material, proteins, enzymes, and other metabolites, alpha-fetoprotein (AFP) is a protein marker primarily used to diagnose HCC. However, current methods need a large sample and carry a high cost, among other challenges, which can be improved using biosensing technology. Early and accurate detection of AFP can prevent severe progression of the disease and ensure better management of HCC patients. This review sheds light on HCC development in the human body. Afterward, we outline various types of biosensors (optical, electrochemical, and mass-based), as well as the most relevant studies of biosensing modalities for non-invasive monitoring of AFP. The review also explains these sensing platforms, detection substrates, surface modification agents, and fluorescent probes used to develop such biosensors. Finally, the challenges and future trends in routine clinical analysis are discussed to motivate further developments.
DNA-Based Molecular Machines: Controlling Mechanisms and Biosensing Applications
Authors: Ma Chunran , Li Shiquan , Zeng Yuqi , Lyu Yifan
Published: May 2024

The rise of DNA nanotechnology has driven the development of DNA-based molecular machines, which are capable of performing specific operations and tasks at the nanoscale. Benefitting from the programmability of DNA molecules and the predictability of DNA hybridization and strand displacement, DNA-based molecular machines can be designed with various structures and dynamic behaviors and have been implemented for wide applications in the field of biosensing due to their unique advantages. This review summarizes the reported controlling mechanisms of DNA-based molecular machines and introduces biosensing applications of DNA-based molecular machines in amplified detection, multiplex detection, real-time monitoring, spatial recognition detection, and single-molecule detection of biomarkers. The challenges and future directions of DNA-based molecular machines in biosensing are also discussed.
Nanoplastics and Neurodegeneration in ALS
Authors: Eisen Andrew , Pioro Erik P. , Goutman Stephen A. , Kiernan Matthew C.
Published: May 2024

Plastic production, which exceeds one million tons per year, is of global concern. The constituent low-density polymers enable spread over large distances and micro/nano particles (MNPLs) induce organ toxicity via digestion, inhalation, and skin contact. Particles have been documented in all human tissues including breast milk. MNPLs, especially weathered particles, can breach the blood–brain barrier, inducing neurotoxicity. This has been documented in non-human species, and in human-induced pluripotent stem cell lines. Within the brain, MNPLs initiate an inflammatory response with pro-inflammatory cytokine production, oxidative stress with generation of reactive oxygen species, and mitochondrial dysfunction. Glutamate and GABA neurotransmitter dysfunction also ensues with alteration of excitatory/inhibitory balance in favor of reduced inhibition and resultant neuro-excitation. Inflammation and cortical hyperexcitability are key abnormalities involved in the pathogenic cascade of amyotrophic lateral sclerosis (ALS) and are intricately related to the mislocalization and aggregation of TDP-43, a hallmark of ALS. Water and many foods contain MNPLs and in humans, ingestion is the main form of exposure. Digestion of plastics within the gut can alter their properties, rendering them more toxic, and they cause gut microbiome dysbiosis and a dysfunctional gut–brain axis. This is recognized as a trigger and/or aggravating factor for ALS. ALS is associated with a long (years or decades) preclinical period and neonates and infants are exposed to MNPLs through breast milk, milk substitutes, and toys. This endangers a time of intense neurogenesis and establishment of neuronal circuitry, setting the stage for development of neurodegeneration in later life. MNPL neurotoxicity should be considered as a yet unrecognized risk factor for ALS and related diseases.
Seizure-Related Head Injuries: A Narrative Review
Authors: Piwowarczyk Sebastian , Obłój Paweł , Janicki Łukasz , Kowalik Kornelia , Łukaszuk Adam , Siemiński Mariusz
Published: May 2024

Epilepsy is one of the most common neurological diseases. Epileptic seizures very often result in head injuries that may lead to many adverse consequences, both acute and chronic. They contribute to the need for hospitalization, modification of treatment, and a general decline in social productivity. The objective of our review is to characterize and assess management aspects of seizure-related head injuries (SRHIs) as an important and frequent clinical problem present in emergency department settings. PubMed and other relevant databases and websites were systematically searched for articles on traumatic brain injuries connected with the occurrence of seizures published from inception to 9 April 2024; then, we reviewed the available literature. Our review showed that SRHIs can lead to various acute complications, in some cases requiring hospitalization and neurosurgical intervention. Long-term complications and cognitive decline after injury might be present, eventually implying a negative impact on a patient’s quality of life. Despite being frequent and clinically important, there are still no widely accepted, uniform recommendations for the management of patients with SRHIs. As such, a concise and standardized protocol for the management of seizure-related head injuries in emergency departments is worth consideration.
Gaze Orienting in the Social World: An Exploration of the Role Played by Caregiving Vocal and Tactile Behaviors in Infants with Visual Impairment and in Sighted Controls
Authors: Grumi Serena , Capelli Elena , Morelli Federica , Vercellino Luisa , Mascherpa Eleonora , Ghiberti Chiara , Carraro Laura , Signorini Sabrina , Provenzi Livio
Published: May 2024

Infant attention is a cognitive function that underlines sensory–motor integration processes at the interface between the baby and the surrounding physical and socio-relational environment, mainly with the caregivers. The investigation of the role of non-visual inputs (i.e., vocal and tactile) provided by the caregivers in shaping infants’ attention in the context of visual impairment is relevant from both a theoretical and clinical point of view. This study investigated the social attention (i.e., gaze orientation) skills in a group of visually impaired (VI) and age-matched sighted controls (SCs) between 9 and 12 months of age. Moreover, the role of VI severity and maternal vocalizations and touch in shaping the social attention were investigated. Overall, 45 infants and their mothers participated in a video-recorded 4 min interaction procedure, including a play and a still-face episode. The infants’ gaze orientation (i.e., mother-directed, object-directed, or unfocused) and the types of maternal vocalizations and touch (i.e., socio-cognitive, affective) were micro-analytically coded. Maternal vocalizations and touch were found to influence gaze orientation differently in VI infants compared SCs. Moreover, the group comparisons during the play episode showed that controls were predominantly oriented to the mothers, while VI infants were less socially oriented. Visual impairment severity did not emerge as linked with social attention. These findings contribute to our understanding of socio-cognitive developmental trajectories in VI infants and highlight the need for tailored interventions to promote optimal outcomes for VI populations.
Correction: Horne et al. White Matter Correlates of Domain-Specific Working Memory. Brain Sci. 2023, 13, 19
Authors: Horne Autumn , Ding Junhua , Schnur Tatiana T. , Martin Randi C.
Published: May 2024

In the original publication [...]
Ultrastructural Changes of Neuroendocrine Pheochromocytoma Cell Line PC-12 Exposed In Vitro to Rotenone
Authors: Belli Manuel , Cristina Mario , Calabrese Valeria , Russo Marta , Granato Marisa , Russo Matteo Antonio , Sansone Luigi
Published: May 2024

Rotenone is a pesticide used in research for its ability to induce changes similar, in vivo and in vitro, to those observed in Parkinson’s disease (PD). This includes a selective death of dopaminergic neurons in the substantia nigra. Nonetheless, the precise mechanism through which rotenone modifies structure and function of neurons remains unclear. The PC12 cells closely resemble dopamine terminal neurons. This makes it a preferred model for studying the morphology of central dopamine neurons and predicting neurotoxicity. In this paper, we investigated the effects of 0.5 µM rotenone for 24–48 h on PC12 cell viability and ultrastructure (TEM), trying to identify primary and more evident alterations that can be related to neuronal damages similar to that seen in animal PD models. Cell viability decreased after 24 h rotenone treatment, with a further decrease after 48 h. Ultrastructural changes included vacuolar degeneration, mitochondrial mild swelling, decrease in the number of neuropeptide granules, and the loss of cell-to-cell adhesion. These findings are in agreement with previous research suggesting that rotenone, by inhibiting energy production and increasing ROS generation, is responsible for significant alterations of the ultrastructure and cell death of PC12 cells. Our data confirm the link between rotenone exposure, neuronal damage, and changes in dopamine metabolism, suggesting its role in the pathogenesis of PD.
Multidimensional Seismic Response Analysis of Large-Scale Steel-Reinforced Concrete Frame-Bent Structures in CAP1400 Nuclear Power Plant
Authors: Xu Zhenhua , Zhao Jinquan , Bai Guoliang , Ding Yonggang
Published: May 2024

Irregularity in the plane layout of a building structure and the vertical discontinuity of lateral resistance components could lead to torsion and result in the brittle failure of a structure. According to the characteristics of the conventional island main building of nuclear power plants, this paper focuses on the conventional island main building of the CAP1400 nuclear power plant (NPP) in Shidaowan as the research object. A prototype structure model of the main building was developed using ABAQUS software. The seismic response of the structure under multidimensional ground motion was studied by inputting the X-direction and Y-direction translational and torsional components of ground motion in ABAQUS. The results demonstrate that the overall transverse displacement of the structure under bidirectional ground motion was significantly higher than that under unidirectional earthquakes, which was about 20%. Under a multidimensional frequent earthquake, the transverse displacement of the structure increased by about 13% on average compared with that under a bidirectional earthquake; the longitudinal increase was the largest, at about 28%. Finally, the lateral displacement of each layer of the steel-reinforced concrete (SRC) frame-bent main building structure with few walls proposed in this article decreased by an average of about 17% compared to the traditional SRC frame-bent main building structure. The longitudinal displacement was reduced by about 14% compared to the traditional SRC frame-bent main building structure.
Design Method for Low-Carbon Fly Ash Concrete Considering Strength, Form Removal Time, and Carbonation Durability Life
Authors: Zhang Li-Na , Wang Xiao-Yong
Published: May 2024

Low-carbon fly ash concrete is one of the hottest research topics in the concrete industry. This study proposes a design method for low-carbon fly ash concrete that systematically considers strength, form removal time, and carbonation durability life. The basic steps of this method are as follows: First, based on the experimental results, the strength development formula of fly ash concrete using different mix ratios and different aging periods is obtained through regression. The adopted carbonation depth calculation formula can be used to consider the influence of the curing time and mix ratio on carbonation depth. Second, through the analysis of design cases, the dominant factors in the design of low-carbon fly ash concrete are clarified. For example, strength dominates, demolding time dominates, or carbonation durability dominates. If the concrete is removed from the formwork early, the carbonation resistance is very weak, and a large amount of cementitious material is required in order to meet the carbonation durability requirements. Appropriately extending the removal time of the concrete form can enhance the carbonation durability, reduce the content of cementitious materials, and achieve the goal of low-carbon design. In short, the method proposed in this study can be used as a general method for low-carbon fly ash concrete design, and this method can be extended for use in different countries and regions.
Overall Survival and Prognostic Factors in Metastatic Triple-Negative Breast Cancer: A National Cancer Database Analysis
Authors: Kesireddy Meghana , Elsayed Lina , Shostrom Valerie K. , Agarwal Priyal , Asif Samia , Yellala Amulya , Krishnamurthy Jairam
Published: May 2024

Background: Metastatic triple-negative breast cancer (TNBC) is aggressive with poor median overall survival (OS) ranging from 8 to 13 months. There exists considerable heterogeneity in survival at the individual patient level. To better understand the survival heterogeneity and improve risk stratification, our study aims to identify the factors influencing survival, utilizing a large patient sample from the National Cancer Database (NCDB). Methods: Women diagnosed with metastatic TNBC from 2010 to 2020 in the NCDB were included. Demographic, clinicopathological, and treatment data and overall survival (OS) outcomes were collected. Kaplan–Meier curves were used to estimate OS. The log-rank test was used to identify OS differences between groups for each variable in the univariate analysis. For the multivariate analysis, the Cox proportional hazard model with backward elimination was used to identify factors affecting OS. Adjusted hazard ratios and 95% confidence intervals are presented. Results: In this sample, 2273 women had a median overall survival of 13.6 months. Factors associated with statistically significantly worse OS included older age, higher comorbidity scores, specific histologies, higher number of metastatic sites, presence of liver or other site metastases in those with only one metastatic site (excluding brain metastases), presence of cranial and extra-cranial metastases, lack of chemotherapy, lack of immunotherapy, lack of surgery to distant sites, lack of radiation to distant sites, and receipt of palliative treatment to alleviate symptoms. In the multivariate analysis, comorbidity score, histology, number of metastatic sites, immunotherapy, and chemotherapy had a statistically significant effect on OS. Conclusions: Through NCDB analysis, we have identified prognostic factors for metastatic TNBC. These findings will help individualize prognostication at diagnosis, optimize treatment strategies, and facilitate patient stratification in future clinical trials.
Partial Hepatectomy Promotes the Development of KRASG12V-Induced Hepatocellular Carcinoma in Zebrafish
Authors: Zhu Mingkai , Li Yan , Liu Dong , Gong Zhiyuan
Published: May 2024

The purpose of this study was to investigate the effects of PH on the development of oncogenic krasG12V-induced HCC in zebrafish. The inducible HCC model in Tg(fabp10a:rtTA2s-M2; TRE2:EGFP-krasG12V) zebrafish was used. PH or sham surgery was performed before the induction of oncogenic krasG12V expression in the livers of transgenic zebrafish. Histological analysis was carried out to determine the progression of HCC and other HCC-associated features including hepatocyte proliferation, extracellular matrix production, and local oxidative stress. The similarity between the process of PH-induced liver regeneration and that of krasG12V-induced HCC development was further compared by RNA-Seq analysis. The results show that PH promotes the development of krasG12V-induced HCC in zebrafish possibly through enhancing neutrophil-mediated oxidative stress and promoting the upregulation of s100a1, and the downregulation of ribosome biogenesis.
Pepsinogen C Interacts with IQGAP1 to Inhibit the Metastasis of Gastric Cancer Cells by Suppressing Rho-GTPase Pathway
Authors: Ding Hanxi , Liu Yingnan , Lu Xiaodong , Liu Aoran , Xu Qian , Yuan Yuan
Published: May 2024

Aim: This study systematically explored the biological effects and mechanisms of PGC on gastric cancer (GC) cells in vitro and in vivo. Method: The critical biological roles of PGC in GC were assessed via EdU staining, Hoechst staining, flow cytometry, mouse models, CCK-8, wound healing, transwell, and sphere-forming assays. The interaction study with IQ-domain GTPase-activating protein 1 (IQGAP1) was used by Liquid chromatography-mass spectrometry co-immunoprecipitation, immunofluorescence staining, CHX-chase assay, MG132 assay, and qRT-PCR. Results: PGC inhibited the proliferation, viability, epithelial–mesenchymal transition, migration, invasion, and stemness of GC cells and promoted GC cell differentiation. PGC suppressed subcutaneous tumor growth and peritoneal dissemination in vivo. The interaction study found PGC inhibits GC cell migration and invasion by downregulating IQGAP1 protein and IQGAP1-mediated Rho-GTPase signaling suppression. In addition, PGC disrupts the stability of the IQGAP1 protein, promoting its degradation and significantly shortening its half-life. Moreover, the expression levels of PGC and IQGAP1 in GC tissues were significantly negatively correlated. Conclusion: PGC may act as a tumor suppressor in the development and metastasis of GC. PGC can downregulate its interacting protein IQGAP1 and inhibit the Rho-GTPase pathway, thereby participating in the inhibition of GC cell migration and invasion.
CXCR4: From Signaling to Clinical Applications in Neuroendocrine Neoplasms
Authors: Sanchis-Pascual David , Del Olmo-García María Isabel , Prado-Wohlwend Stefan , Zac-Romero Carlos , Segura Huerta Ángel , Hernández-Gil Javier , Martí-Bonmatí Luis , Merino-Torres Juan Francisco
Published: May 2024

There are several well-described molecular mechanisms that influence cell growth and are related to the development of cancer. Chemokines constitute a fundamental element that is not only involved in local growth but also affects angiogenesis, tumor spread, and metastatic disease. Among them, the C-X-C motif chemokine ligand 12 (CXCL12) and its specific receptor the chemokine C-X-C motif receptor 4 (CXCR4) have been widely studied. The overexpression in cell membranes of CXCR4 has been shown to be associated with the development of different kinds of histological malignancies, such as adenocarcinomas, epidermoid carcinomas, mesenchymal tumors, or neuroendocrine neoplasms (NENs). The molecular synapsis between CXCL12 and CXCR4 leads to the interaction of G proteins and the activation of different intracellular signaling pathways in both gastroenteropancreatic (GEP) and bronchopulmonary (BP) NENs, conferring greater capacity for locoregional aggressiveness, the epithelial–mesenchymal transition (EMT), and the appearance of metastases. Therefore, it has been hypothesized as to how to design tools that target this receptor. The aim of this review is to focus on current knowledge of the relationship between CXCR4 and NENs, with a special emphasis on diagnostic and therapeutic molecular targets.
Real-World Safety and Outcome of First-Line Pembrolizumab Monotherapy for Metastatic NSCLC with PDL-1 Expression ≥ 50%: A National Italian Multicentric Cohort (“PEMBROREAL” Study)
Authors: Cafaro Alessandro , Foca Flavia , Nanni Oriana , Chiumente Marco , Coppola Marina , Russi Alberto , Svegliati Elena , Baldo Paolo , Orzetti Sabrina , Enrico Fiorenza , Foglio Federico , Pinnavaia Davide , Ladisa Vito , Lauria Pantano Claudia , Lerose Rosa , Nardulli Patrizia , Ferraiuolo Simona , Maiolino Piera , De Stasio Immacolata , Gradellini Federica , Gasbarro Anna Rita , Santeramo Rossella , Carrucciu Gisella , Provasi Riccardo , Cirino Mario , Cappelletto Paola Cristina , Fonzi Elisabetta , Pasqualini Alessandra , Vecchia Stefano , Veraldi Marianna , De Francesco Adele Emanuela , Crinò Lucio , Delmonte Angelo , Masini Carla
Published: May 2024

Results from the phase III Keynote-024 clinical trial established pembrolizumab monotherapy as the first-line standard of care for patients with metastatic NSCLC who have PD-L1 expression ≥ 50%, EGFR, and ALK wild-type tumors. However, given the differences between patients treated in routine clinical practice and those treated in a clinical trial, real-world data are needed to confirm the treatment benefit in standard practice. Given the lack of data on large cohorts of patients with long follow-ups, we designed an observational retrospective study of patients with metastatic NSCLC who were treated with pembrolizumab, starting from its reimbursement eligibility until December 2020. The primary endpoints were PFS and OS, determined using the Kaplan–Meier method. Response and safety were also evaluated. We followed 880 patients (median follow-up: 35.1 months) until February 2022. Median PFS and OS were 8.6 months (95% CI: 7.6–10.0) and 25.5 months (95% CI: 21.8–31.6), respectively. We also found that ECOG PS, PD-L1 expression, and habitual smoking were prognostic factors for PFS, while age, sex, ECOG PS, habitual smoking and histology had an impact on OS. Multivariable analysis confirms the prognostic role of PD-L1 for PFS and of ECOG for both PFS and OS. 39.9% of patients reported an adverse event, but only 6.3% of patients discontinued therapy due to toxicity. Our results suggest a long-term benefit of pembrolizumab in the first-line setting, as well as a safety profile consistent with the results of Keynote-024. Many collected variables appear to influence clinical outcome, but results from these exploratory unadjusted analyses should be interpreted with caution.
Inkjet Printing with (Semi)conductive Conjugated Polymers: A Review
Authors: Lukyanov Daniil A. , Levin Oleg V.
Published: May 2024

Functional inkjet printing is an emerging manufacturing technology for the production of various planar elements and electronic devices. This technology offers affordable freeform and highly customizable production of thin film micron-scale elements on various substrates. Functional inkjet printing employs various inks based on organic and inorganic materials with diverse functional properties, and among them, conjugated polymers are of particular interest due to their electrical, photophysical, and electrochemical properties. This paper provides an overview of inkjet printing with conjugated (semi)conductive polymers, including the fundamentals of the technology and its scope, limitations, and main challenges. Specific attention is drawn to the synthesis and chemistry of these polymers in connection with the patterning and functional properties of the inks composed thereof. Practical aspects of this technology are also highlighted, namely the manufacturing capabilities of the technology and particular applications for the fabrication of various electronic elements and devices.
A Higher Adherence to the ALINFA Nutritional Intervention Is Effective for Improving Dietary Patterns in Children
Authors: Vázquez-Bolea Natalia , Andueza Naroa , Cuervo Marta , Navas-Carretero Santiago
Published: May 2024

Food patterns are deteriorating and, consequently, not meeting nutritional recommendations. Learning about the adherence to a diet is crucial for understanding children’s dietary habits. The objective of the present analysis was to assess the degree of compliance with the ALINFA nutritional intervention and the effectiveness of adherence groups, and to evaluate potential baseline factors predicting a higher adherence to the intervention. A total of 44 children aged 6 to 12 years-old participated in the eight-week intervention. A two-week dietary plan was specifically designed, providing participants with food products, ready-to-eat dishes, and recipes. An intake of 75% of calories of the prescribed diet was defined to divide the participants into high- and low-adherence groups (HA/LA, respectively). From the 44 participants, 24 showed a LA to the intervention, whereas 20 of them were in the HA group. Diet quality improved in both groups (p < 0.001), mainly by increasing cereals and nuts, and reducing pastries. A decrease in BMI z-score was observed (LA: p < 0.001; HA: p = 0.021). Fat mass (p = 0.002), LDL-c (p = 0.036), and CRP (p = 0.023) reductions were only achieved in the HA group, whereas leptin decreased only in the LA group (p = 0.046). All participants ameliorated their dietary habits, but those with better diet quality at baseline experienced greater enhancements in their nutritional status.
Factor Structure of the Experiences in Close Relationships—Relationship Structures Scale (ECR-RS) in Siblings of Children with Chronic Disorders
Authors: Fjermestad Krister W. , Orm Stian , Fredriksen Trude , Haukeland Yngvild B. , Vatne Torun M.
Published: May 2024

Our objective was to examine the factor structure of the Experiences in Close Relationships-Relationships Structures (ECR-RS), an attachment-theory based relationship measure, in at-risk sample comprising siblings of children with chronic disorders. Psychometric studies with general populations have demonstrated that the ECR-RS comprises two factors, representing anxiety and avoidance in close relationships. The sample comprised 103 siblings (M age = 11.5 years, SD = 2.2, range 8 to 16 years) of children with chronic disorders and their parents. The siblings completed a 9-item version of the Experiences in Close Relationships-Relationships Structures (ECR-RS) about their relations with mothers and fathers that was analyzed with confirmatory factor analysis. We examined construct validity using correlations between sibling social functioning, measured with the Strengths and Difficulties Questionnaire, and parent mental health, measured with the Hopkins Symptom Checklist-90-Revised. The ECR-RS comprised two factors, anxiety and avoidance, in line with previous studies. Both factors demonstrated significant overlap with sibling social functioning, but not with parental mental health. We conclude that the ECR-RS comprises two factors, anxiety and avoidance, that are related to siblings’ social functioning. The ECR-RS can be used as a psychometrically sound measure of relationship anxiety and avoidance in families of children with chronic disorders.
Association between Gross Motor Competence and Physical Fitness in Chilean Children Aged 4 to 6 Years
Authors: Godoy-Cumillaf Andrés , Fuentes-Merino Paola , Giakoni-Ramírez Frano , Duclos-Bastías Daniel , Bruneau-Chávez José , Vergara-Ampuero Diego , Merellano-Navarro Eugenio
Published: May 2024

The preschool period is considered critical for the development of motor competence, but as far as we know, no studies have investigated the association between motor competence and physical fitness in Chilean children. The aim of this study was to analyse the association between gross motor competence and physical fitness, controlling for possible confounding factors. A cross-sectional study was conducted with a sample of 144 preschool children (56.25% girls) with an average age of 5.3 years (4 to 6 years) from the Araucanía region, Chile. Motor competence was measured using the Children’s Movement Assessment Battery, 2nd Edition (MABC-2). Regarding physical fitness, the components of cardiorespiratory fitness, lower body muscle strength and speed/agility were evaluated using the Battery to Assess FITness in PREschool (PREFIT). Partial correlation models and analysis of variance (ANCOVA) were used to assess differences in physical fitness between motor competence categories, controlling for age and body mass index. The mean fitness scores for cardiorespiratory fitness, lower body muscle strength and speed/agility components were significantly higher in children with higher gross motor competence. In terms of effect size, large values were found for the lower body strength component in model 1 for boys and in model 2 for the total samples of girls and boys. The results of this study suggest that good levels of gross motor competence are associated with better physical fitness levels.
Clinical Features and Management of Skull Base Fractures in the Pediatric Population: A Systematic Review
Authors: Jung Geena , Xavier Jorden , Reisert Hailey , Goynatsky Matthew , Keymakh Margaret , Buckner-Wolfson Emery , Kim Timothy , Fatemi Ryan , Alavi Seyed Ahmad Naseri , Pasuizaca Andres , Shah Pushti , Liriano Genesis , Kobets Andrew J.
Published: May 2024

Pediatric basilar skull fractures (BSFs) are a rare type of traumatic head injury that can cause debilitating complications without prompt treatment. Here, we sought to review the literature and characterize the clinical features, management, and outcomes of pediatric BSFs. We identified 21 relevant studies, excluding reviews, meta-analyses, and non-English articles. The incidence of pediatric BSFs ranged from 0.0001% to 7.3%, with falls from multi-level heights and traffic accidents being the primary causes (9/21). The median presentation age ranged from 3.2 to 12.8 years, and the mean age of patients across all studies was 8.68 years. Up to 55% of pediatric BSFs presented with intracranial hematoma/hemorrhage, along with pneumocephalus and edema. Cranial nerve palsies were a common complication (9/21), with the facial nerve injured most frequently (7/21). While delayed cranial nerve palsy was reported in a few studies (4/21), most resolved within three months post-admission. Other complications included CSF leaks (10/21) and meningitis (4/21). Management included IV fluids, antiemetics, and surgery (8/21) to treat the fracture directly, address a CSF leak, or achieve cranial nerve compression. Despite their rarity, pediatric skull base fractures are associated with clinical complications, including CSF leaks and cranial nerve palsies. Given that some of these complications may be delayed, patient education is critical.
Bridging the Gap: Harnessing Plant Bioactive Molecules to Target Gut Microbiome Dysfunctions in Amyotrophic Lateral Sclerosis
Authors: Pribac Mirela , Motataianu Anca , Andone Sebastian , Mardale Elena , Nemeth Sebastian
Published: May 2024

The correlation between neurodegenerative diseases and the gut microbiome is increasingly evident, with amyotrophic lateral sclerosis (ALS) being particularly notable for its severity and lack of therapeutic options. The gut microbiota, implicated in the pathogenesis and development of ALS, plays a crucial role in the disease. Bioactive plant molecules, specifically volatile compounds in essential oils, offer a promising therapeutic avenue due to their anti-inflammatory properties and gut-modulating effects. Our narrative review aimed to identify microbiota-associated bacteria in ALS and analyze the benefits of administering bioactive plant molecules as much-needed therapeutic options in the management of this disease. A comprehensive search of PubMed database articles published before December 2023, encompassing research on cell, human, and animal ALS models, was conducted. After selecting, analyzing, and discussing key articles, bacteria linked to ALS pathogenesis and physiopathology were identified. Notably, positively highlighted bacteria included Akkermansia muciniphila (Verrucomicrobia phylum), Faecalibacterium prausnitzii, and Butyrivibrio spp. (Firmicutes phylum). Conversely, members of the Escherichia coli spp. (Proteobacteria phylum) and Ruminococcus spp. (Firmicutes phylum) stood out negatively in respect to ALS development. These bacteria were associated with molecular changes linked to ALS pathogenesis and evolution. Bioactive plant molecules can be directly associated with improvements in the microbiome, due to their role in reducing inflammation and oxidative stress, emerging as one of the most promising natural agents for enriching present-day ALS treatments.
Meeting and Working with K. Alex Müller: Personal Memories
Authors: Bussmann-Holder Annette , Keller Hugo
Published: May 2024

On 9 January 2023, K [...]
Does Active or Informative Messaging Result in Greater Conservation Engagement?
Authors: Maynard Lily T. , Torchalski Jennifer R. , Gezon Zachariah J. , Callwood Karlisa A. , Stamper M. Andrew , Schook Mandi W. , Martin Claire
Published: May 2024

Strategic communication can motivate target audiences to take conservation action. Yet, whether audiences are motivated by more information or more influential visuals is unclear. Using online surveys, we compared different visual communication strategies using text, graphics, and photographs for encouraging parrotfish-friendly conservation behaviors to see which one yields greater emotion, interest, and intended action. Experiment 1 explored whether a scientific-oriented poster would be more or less effective in promoting conservation behaviors than a graphical poster using social marketing techniques. Experiment 2 contrasted the two posters with a photograph and graphic icons without text against a blank control. Results revealed how engaging visuals can inspire reactions and behavioral intentions. The posters both elicited positive reactions, but with less text and content to process, the social marketing poster more efficiently inspired the desired reactions. This work highlights that conservation communications can strategically use psychology and graphics to efficiently inspire desired actions.
Heat Treatment of Calcite to Enhance Its Removal of Color Dye Alizarin Red S
Authors: Li Zhaohui , Bowman Anna , Rayniak Angie , Strommen Jadyn , Allen Lori , Xu Shangping
Published: May 2024

The use of color dyes in modern society presents a great challenge to the environment. Thus, extensive studies have been conducted in the last 30 years on the removal of color dyes from aqueous solutions such industrial wastewater. In this study, the removal of alizarin red S (ARS), an anionic dye, from solution by raw calcite (Cal) and heat-treated calcite (HCal) was conducted and compared under different physico-chemical conditions. Based on the isotherm study, the ARS removal capacities increased from 167 to 251 mmol/kg after the Cal was heated to 1000 °C for 3 h. The X-ray diffraction analyses showed no difference in the calcite phase between Cal and HCal after ARS sorption. Fourier-transform infrared results also showed no change in the calcite phase after ARS sorption, except a slightly increase in wavenumber from 713 to 727 cm−1 for the OCO bending of HCal at high ARS sorption levels. SEM observations showed about the same particle size and morphology before and after ARS sorption. The TGA data showed the formation of CaO after Cal was heated, and CaO converted back into calcite after being in contact with water or ARS solution for 24 h and then being air-dried. Thus, the high ARS removal could be due to CaO produced after Cal being heated. The findings from this research proved that there is great potential in the use of calcite, a low-cost and readily available Earth material, after heat treatment for the removal of contaminants from water.
A Current Design Approach for Ming Chairs
Authors: Bai Yifan , Kamarudin Khairul Manami , Alli Hassan
Published: May 2024

Ergonomics are key in the design and application of Ming-style chairs. However, there are presently few specific design frameworks to guide Ming-style chair design. Under this background, the present study developed a questionnaire on the ergonomic design of Ming-style chairs and assessed its validity and reliability. Fifty-two respondents involved in the design and manufacture of Ming-style chairs participated in this study. The statistics of the questionnaire were analyzed and yielded a significant reliability coefficient (α > 0.70, p < 0.01). This ergonomic design framework study of Ming-style chairs analyzed the domains of Chair Form, Aesthetics, Safety, Comfort, Ease-of-use, and Productivity. To assess the importance of various design elements, we used a five-point Likert scale to score items within each domain. This scoring system enabled us to prioritize features, allowing the designers to focus on the essential elements before beginning the design process. We found that designers and manufacturers focused primarily on the Four-headed Official Chair with Armrests form.
Human versus Artificial Intelligence: Validation of a Deep Learning Model for Retinal Layer and Fluid Segmentation in Optical Coherence Tomography Images from Patients with Age-Related Macular Degeneration
Authors: Miranda Mariana , Santos-Oliveira Joana , Mendonça Ana Maria , Sousa Vânia , Melo Tânia , Carneiro Ângela
Published: May 2024

Artificial intelligence (AI) models have received considerable attention in recent years for their ability to identify optical coherence tomography (OCT) biomarkers with clinical diagnostic potential and predict disease progression. This study aims to externally validate a deep learning (DL) algorithm by comparing its segmentation of retinal layers and fluid with a gold-standard method for manually adjusting the automatic segmentation of the Heidelberg Spectralis HRA + OCT software Version 6.16.8.0. A total of sixty OCT images of healthy subjects and patients with intermediate and exudative age-related macular degeneration (AMD) were included. A quantitative analysis of the retinal thickness and fluid area was performed, and the discrepancy between these methods was investigated. The results showed a moderate-to-strong correlation between the metrics extracted by both software types, in all the groups, and an overall near-perfect area overlap was observed, except for in the inner segment ellipsoid (ISE) layer. The DL system detected a significant difference in the outer retinal thickness across disease stages and accurately identified fluid in exudative cases. In more diseased eyes, there was significantly more disagreement between these methods. This DL system appears to be a reliable method for accessing important OCT biomarkers in AMD. However, further accuracy testing should be conducted to confirm its validity in real-world settings to ultimately aid ophthalmologists in OCT imaging management and guide timely treatment approaches.
CSDNet: A Novel Deep Learning Framework for Improved Cataract State Detection
Authors: P.L Lahari , Vaddi Ramesh , Elish Mahmoud O. , Gonuguntla Venkateswarlu , Yellampalli Siva Sankar
Published: May 2024

Cataracts, known for lens clouding and being a common cause of visual impairment, persist as a primary contributor to vision loss and blindness, presenting notable diagnostic and prognostic challenges. This work presents a novel framework called the Cataract States Detection Network (CSDNet), which utilizes deep learning methods to improve the detection of cataract states. The aim is to create a framework that is more lightweight and adaptable for use in environments or devices with limited memory or storage capacity. This involves reducing the number of trainable parameters while still allowing for effective learning of representations from data. Additionally, the framework is designed to be suitable for real-time or near-real-time applications where rapid inference is essential. This study utilizes cataract and normal images from the Ocular Disease Intelligent Recognition (ODIR) database. The suggested model employs smaller kernels, fewer training parameters, and layers to efficiently decrease the number of trainable parameters, thereby lowering computational costs and average running time compared to other pre-trained models such as VGG19, ResNet50, DenseNet201, MIRNet, Inception V3, Xception, and Efficient net B0. The experimental results illustrate that the proposed approach achieves a binary classification accuracy of 97.24% (normal or cataract) and an average cataract state detection accuracy of 98.17% (normal, grade 1—minimal cloudiness, grade 2—immature cataract, grade 3—mature cataract, and grade 4—hyper mature cataract), competing with state-of-the-art cataract detection methods. The resulting model is lightweight at 17 MB and has fewer trainable parameters (175, 617), making it suitable for deployment in environments or devices with constrained memory or storage capacity. With a runtime of 212 ms, it is well-suited for real-time or near-real-time applications requiring rapid inference.
Clinical Validation of a Machine-Learned, Point-of-Care System to IDENTIFY Functionally Significant Coronary Artery Disease
Authors: Stuckey Thomas D. , Meine Frederick J. , McMinn Thomas R. , Depta Jeremiah P. , Bennett Brett A. , McGarry Thomas F. , Carroll William S. , Suh David D. , Steuter John A. , Roberts Michael C. , Gillins Horace R. , Fathieh Farhad , Burton Timothy , Nemati Navid , Shadforth Ian P. , Ramchandani Shyam , Bridges Charles R. , Rabbat Mark G.
Published: May 2024

Many clinical studies have shown wide performance variation in tests to identify coronary artery disease (CAD). Coronary computed tomography angiography (CCTA) has been identified as an effective rule-out test but is not widely available in the USA, particularly so in rural areas. Patients in rural areas are underserved in the healthcare system as compared to urban areas, rendering it a priority population to target with highly accessible diagnostics. We previously developed a machine-learned algorithm to identify the presence of CAD (defined by functional significance) in patients with symptoms without the use of radiation or stress. The algorithm requires 215 s temporally synchronized photoplethysmographic and orthogonal voltage gradient signals acquired at rest. The purpose of the present work is to validate the performance of the algorithm in a frozen state (i.e., no retraining) in a large, blinded dataset from the IDENTIFY trial. IDENTIFY is a multicenter, selectively blinded, non-randomized, prospective, repository study to acquire signals with paired metadata from subjects with symptoms indicative of CAD within seven days prior to either left heart catheterization or CCTA. The algorithm’s sensitivity and specificity were validated using a set of unseen patient signals (n = 1816). Pre-specified endpoints were chosen to demonstrate a rule-out performance comparable to CCTA. The ROC-AUC in the validation set was 0.80 (95% CI: 0.78–0.82). This performance was maintained in both male and female subgroups. At the pre-specified cut point, the sensitivity was 0.85 (95% CI: 0.82–0.88), and the specificity was 0.58 (95% CI: 0.54–0.62), passing the pre-specified endpoints. Assuming a 4% disease prevalence, the NPV was 0.99. Algorithm performance is comparable to tertiary center testing using CCTA. Selection of a suitable cut-point results in the same sensitivity and specificity performance in females as in males. Therefore, a medical device embedding this algorithm may address an unmet need for a non-invasive, front-line point-of-care test for CAD (without any radiation or stress), thus offering significant benefits to the patient, physician, and healthcare system.
Histological Changes in the Popliteal Artery Wall in Patients with Critical Limb Ischemia
Authors: Andercou Octavian , Andrei Maria Cristina , Gheban Dan , Marian Dorin , Coman Horațiu F. , Oprea Valentin Aron , Mihaileanu Florin Vasile , Ciocan Razvan , Cucuruz Beatrix , Stancu Bogdan
Published: May 2024

Introduction: This prospective study aims to illustrate the histopathological arterial changes in the popliteal artery in peripheral arterial disease of the lower limbs. Material and method: A total of 60 popliteal artery segments taken from patients who had undergone lower limb amputation were examined between April and June 2023. The degree of arterial stenosis, medial calcinosis, and the vasa vasorum changes in the arterial adventitia were quantified. The presence of risk factors for atherosclerosis was also observed. Results: Atherosclerotic plaque was found in all of the examined segments. Medial calcinosis was observed in 40 (66.6%) of the arterial segments. A positive association between the degree of arterial stenosis and the vasa vasorum changes in the arterial adventitia was also found (p = 0.025). The level of blood sugar and cholesterol were predictive factors for the severity of atherosclerosis. Conclusions: Atherosclerosis and medial calcinosis are significant in patients who underwent lower limb amputation. Medial calcinosis causes damage to the arterial wall and leads to a reduction in responsiveness to dilator stimuli.
Factors Affecting Survival Outcomes in Neuroendocrine Tumor of the Appendix over the Past Two Decades
Authors: Nagesh Vignesh Krishnan , Aguilar Izage Kianifar , Elias Daniel , Mansour Charlene , Tran Hadrian Hoang-Vu , Bhuju Ruchi , Sethi Tanni , Sanjeeva Paranjyothy Rao Pirangi , Rivas Marco Gonzalez , Martinez Emelyn , Auda Auda , Ahmed Nazir , Philip Shawn , Weissman Simcha , Sotiriadis John , Bangolo Ayrton
Published: May 2024

Background: Appendiceal neuroendocrine tumors (NETs) rank as the third most frequent neoplasm affecting the appendix, originating from enterochromaffin cells. This study aims to evaluate the influence of various prognostic factors on the mortality rates of patients diagnosed with NETs of the appendix. Methods: Conducted retrospectively, the study involved 3346 patients, utilizing data sourced from the Surveillance, Epidemiology, and End Results (SEER) database. Our analysis centered on investigating demographic characteristics, clinical features, overall mortality (OM), and cancer-specific mortality (CSM) among the cohort. Variables showing a p-value < 0.1 in the univariate Cox regression were incorporated into the multivariate Cox regression analysis. A Hazard Ratio (HR) > 1 indicated an unfavorable prognosis. Results: In the multivariate analysis, higher OM and CSM were observed in males, older age groups, tumors with distant metastasis, poorly differentiated tumors, and those who underwent chemotherapy. Non-Hispanic Black individuals showed elevated mortality rates. Conclusion: Delayed diagnosis may contribute to the increased mortality in this community. Improved access to healthcare and treatment is crucial for addressing these disparities. Larger prospective studies are needed to pinpoint the underlying causes of elevated mortality in non-Hispanic Black populations, and randomized controlled trials (RCTs) are warranted to evaluate therapies for advanced-stage appendix NETs.