bluuebunny/crossref_metadata_2025 huggingface dataset:
Surgical De-Escalation for Re-Excision in Patients with a Margin Less Than 2 mm and a Diagnosis of DCIS
Authors: Vanni Gianluca , Pellicciaro Marco , Di Lorenzo Nicola , Barbarino Rosaria , Materazzo Marco , Tacconi Federico , Squeri Andrea , D’Angelillo Rolando Maria , Berretta Massimiliano , Buonomo Oreste Claudio
Published: February 2024

The current surgical guidelines recommend an optimal margin width of 2 mm for the management of patients diagnosed with ductal carcinoma in situ (DCIS). However, there are still many controversies regarding re-excision when the optimal margin criteria are not met in the first resection. The purpose of this study is to understand the importance of surgical margin width, re-excision, and treatments to avoid additional surgery on locoregional recurrence (LRR). The study is retrospective and analyzed surgical margins, adjuvant treatments, re-excision, and LRR in patients with DCIS who underwent breast-conserving surgery (BCS). A total of 197 patients were enrolled. Re-operation for a close margin rate was 13.5%, and the 3-year recurrence was 7.6%. No difference in the LRR was reported among the patients subjected to BCS regardless of the margin width (p = 0.295). The recurrence rate according to margin status was not significant (p = 0.484). Approximately 36.9% (n: 79) patients had resection margins < 2 mm. A sub-analysis of patients with margins < 2 mm showed no difference in the recurrence between the patients treated with a second surgery and those treated with radiation (p = 0.091). The recurrence rate according to margin status in patients with margins < 2 mm was not significant (p = 0.161). The margin was not a predictive factor of LRR p = 0.999. Surgical re-excision should be avoided in patients with a focally positive margin and no evidence of the disease at post-surgical imaging.
Characterizing the Inflammatory Profile of Neutrophil-Rich Triple-Negative Breast Cancer
Authors: Al Qutami Fatma , AlHalabi Walaa , Vijayakumar Aswathy , Rawat Surendra Singh , Mossa Abubakr H. , Jayakumar Manju Nidagodu , Samreen Baila , Hachim Mahmood Y.
Published: February 2024

Breast cancer (BC) is one of the most common types of cancer in women in the United Arab Emirates. Immunogenic tumours, such as triple-negative breast cancer (TNBC), show increased neutrophil infiltration, which is associated with poor prognosis and limited efficacy of immunotherapy. This study aims to investigate in vitro the bidirectional effect of neutrophils on metastatic TNBC (MDA-MB-231) compared to less-metastatic luminal breast cancer (MCF-7) cell lines. We found that BC cells or their conditioned medium (CM) reduced the viability of neutrophil-like cells (HL60). This was supported by increased cellular stress and NETosis in differentiated HL60 cells (dHL60) upon exposure to MDA-MB-231 compared to MCF-7-CM using nucleic acid staining essays. Flow cytometry showed comparable expression of inflammatory markers by polymorphonuclear cells (PMN) when treated with MDA-MB-231-CM and standard polarizing cocktails. Furthermore, MDA-MB-231-CM triggered an inflammatory pattern with evidence of stronger adhesion (CD62L) and degranulation (CD11b and CD66b) phenotypes. The proinflammatory polarization of dHL60 by MDA-MB-231-CM was additionally confirmed by the elevated CD54 expression, myeloperoxidase, and CD11b protein levels, which matched an increased transwell migratory capacity. In conclusion, BC might use neutrophils to their benefit through NETosis and complement system activation, which makes this crosstalk a potential mechanism for understanding tumour progression.
Leiomyogenic Tumor of the Spine: A Systematic Review
Authors: Kharbat Abdurrahman F. , Balasubramanian Kishore , Sankarappan Kiran , Morgan Ryan D. , Hassan Khawaja M. , Palmisciano Paolo , Pelargos Panayiotis E. , Chukwu Michael , Bin Alamer Othman , Haider Ali S. , El Ahmadieh Tarek Y. , Burke John F.
Published: February 2024

The study cohort consisted of 83 patients with a mean age of 49.55 (SD 13.72) with a female preponderance (60 patients). Here, 32.14% of patients had primary LTS; the remaining were metastases. Clinical presentation included nonspecific back pain (57.83%), weakness (21.69%) and radicular pain (18.07%). History of uterine neoplasia was found in 33.73% of patients. LTS preferentially affected the thoracic spine (51.81%), followed by the lumbar (21.67%) spine. MRI alone was the most common imaging modality (33.33%); in other cases, it was used with CT (22.92%) or X-ray (16.67%); 19.23% of patients had Resection/Fixation, 15.38% had Total en bloc spondylectomy, and 10.26% had Corpectomy. A minority of patients had laminectomy and decompression. Among those with resection, 45.83% had a gross total resection, 29.17% had a subtotal resection, and 16.67% had a near total resection. Immunohistochemistry demonstrated positivity for actin (43.37%), desmin (31.33%), and Ki67 (25.30). At a follow-up of 19.3 months, 61.97% of patients were alive; 26.25% of 80 patients received no additional treatment, 23.75% received combination radiotherapy and chemotherapy, only chemotherapy was given to 20%, and radiotherapy was given to 17.5%. Few (2.5%) had further resection. For an average of 12.50 months, 42.31% had no symptoms, while others had residual (19.23%), other metastasis (15.38%), and pain (7.69%). On follow-up of 29 patients, most (68.97%) had resolved symptoms; 61.97% of the 71 patients followed were alive.
Survival Outcomes in Older Women with Oestrogen-Receptor-Positive Early-Stage Breast Cancer: Primary Endocrine Therapy vs. Surgery by Comorbidity and Frailty Levels
Authors: Wang Yubo , Steinke Douglas , Gavan Sean P. , Chen Teng-Chou , Carr Matthew J. , Ashcroft Darren M. , Cheung Kwok-Leung , Chen Li-Chia
Published: February 2024

Primary endocrine therapy (PET) offers non-surgical treatment for older women with early-stage breast cancer who are unsuitable for surgery due to frailty or comorbidity. This research assessed all-cause and breast cancer-specific mortality of PET vs. surgery in older women (≥70 years) with oestrogen-receptor-positive early-stage breast cancer by frailty and comorbidity levels. This study used UK secondary data to analyse older female patients from 2000 to 2016. Patients were censored until 31 May 2019 and grouped by the Charlson comorbidity index (CCI) and hospital frailty risk score (HFRS). Cox regression models compared all-cause and breast cancer-specific mortality between PET and surgery within each group, adjusting for patient preferences and covariates. Sensitivity analyses accounted for competing risks. There were 23,109 patients included. The hazard ratio (HR) comparing PET to surgery for overall survival decreased significantly from 2.1 (95%CI: 2.0, 2.2) to 1.2 (95%CI: 1.1, 1.5) with increasing HFRS and from 2.1 (95%CI: 2.0, 2.2) to 1.4 (95%CI 1.2, 1.7) with rising CCI. However, there was no difference in BCSM for frail older women (HR: 1.2; 0.9, 1.9). There were no differences in competing risk profiles between other causes of death and breast cancer-specific mortality with PET versus surgery, with a subdistribution hazard ratio of 1.1 (0.9, 1.4) for high-level HFRS (p = 0.261) and CCI (p = 0.093). Given limited survival gains from surgery for older patients, PET shows potential as an effective option for frail older women with early-stage breast cancer. Despite surgery outperforming PET, surgery loses its edge as frailty increases, with negligible differences in the very frail.
ANLN Promotes the Proliferation and Migration of Gallbladder Cancer Cells via STRA6-Mediated Activation of PI3K/AKT Signaling
Authors: Zhu Xiang , Zhang Yong , Bian Rui , Zhu Jiyue , Shi Weibin , Ye Yuanyuan
Published: February 2024

The ANLN gene encodes anillin, a protein that binds to actin. Recent research has identified ANLN’s function in the initiation and advancement of different cancers. However, its impact on gallbladder cancer (GBC) remains unexplored. This study aimed to elucidate its possible molecular mechanisms in GBC. ANLN expression was assessed using quantitative real-time polymerase chain reaction (QRT-PCR), Western blotting (WB), and immunohistochemistry (IHC), revealing elevated levels in GBC tissues. ANLN knockdown resulted in the inhibition of cell proliferation and migration, leading to apoptosis and cell cycle arrest. Conversely, ANLN overexpression had the opposite effects on GBC cells. In vivo experiments confirmed that ANLN knockdown inhibited GBC cell growth. RNA-seq and bioinformatics analysis revealed ANLN’s function in activating the PI3K/AKT signaling pathway. We further confirmed that ANLN could upregulate STRA6 expression, which activated PI3K/AKT signaling to enhance the growth and movement of GBC cells. These findings demonstrate ANLN’s involvement in GBC initiation and progression, suggesting its potential as a novel target for GBC.
Differences between Survival Rates and Patterns of Failure of Patients with Lung Adenocarcinoma and Squamous Cell Carcinoma Who Received Single-Fraction Stereotactic Body Radiotherapy
Authors: Schrand Tyler V. , Iovoli Austin J. , Almeida Neil D. , Yu Han , Malik Nadia , Farrugia Mark , Singh Anurag K.
Published: February 2024

We investigated the survival and patterns of failure in adenocarcinoma (ADC) and squamous cell carcinoma (SCC) in early stage non-small cell lung cancer (NSCLC) treated with single-fraction stereotactic body radiation therapy (SF-SBRT) of 27–34 Gray. A single-institution retrospective review of patients with biopsy-proven early stage ADC or SCC undergoing definitive SF-SBRT between September 2008 and February 2023 was performed. The primary outcomes were overall survival (OS) and disease-free survival (DFS). The secondary outcomes included local failure (LF), nodal failure (NF), and distant failure (DF). Of 292 eligible patients 174 had adenocarcinoma and 118 had squamous cell carcinoma. There was no significant change in any outcome except distant failure. Patients with ADC were significantly more likely to experience distant failure than patients with SCC (p = 0.0081). In conclusion, while SF-SBRT produced similar LF, NF, DFS, and OS, the higher rate of distant failure in ADC patients suggests that ongoing trials of SBRT and systemic therapy combinations should report their outcomes by histology.
Diagnostic Value of Urine Cytology in Pharmacologically Forced Diuresis for Upper Tract Urothelial Carcinoma Diagnosis and Follow-Up
Authors: Giudici Nicola , Blarer Jennifer , Sathianathen Niranjan , Burkhard Fiona C. , Wuethrich Patrick Y. , Thalmann George N. , Seiler Roland , Furrer Marc A.
Published: February 2024

We performed a urine cytology analysis of a pharmacologically induced diuresis for the diagnosis of upper tract urothelial carcinoma. To evaluate the diagnostic value of cytology of pharmacologically forced diuresis, an initial cohort of 77 consecutive patients with primary upper tract urothelial carcinoma treated via radical surgery was enrolled. To evaluate pharmacologically forced diuresis cytology as a follow-up procedure, a second cohort of 1250 patients who underwent a radical cystectomy for bladder cancer was selected. In the first cohort, the sensitivity of cytology of pharmacologically forced diuresis in patients with invasive, high-grade, low-grade, and concomitant carcinoma in situ was 8%, 9%, 0%, and 14%, respectively. In the second cohort, cytology of pharmacologically forced diuresis was positive in 30/689 (4.3%) patients, in whom upper urinary tract recurrence was present in 21/30 (70%) of cases, and urethral recurrence was present in 8/30 (26%) of cases. As a follow-up tool, cytology of pharmacologically forced diuresis showed a sensitivity, specificity, and positive and negative predictive values of 60%, 99%, 70%, and 98%, respectively. Overall, as a diagnostic tool, the sensitivity of cytology of pharmacologically forced diuresis is slightly better in patients with invasive upper tract urothelial carcinoma and concomitant carcinoma in situ. As a follow-up method, positive cytology of pharmacologically forced diuresis is strongly related to cancer recurrence and can reveal urethral recurrence. Cytology of pharmacologically forced diuresis might be useful in cases with contraindications for imaging or when achieving endoscopic access to the upper urinary tract is difficult.
High Engraftment and Metastatic Rates in Orthotopic Xenograft Models of Gastric Cancer via Direct Implantation of Tumor Cell Suspensions
Authors: Wang Chao , Xie Guo-Min , Zhang Li-Ping , Yan Shuo , Xu Jia-Li , Han Yun-Lin , Luo Ming-Jie , Gong Jia-Nan
Published: February 2024

Although the implantation of intact tumor fragments is a common practice to generate orthotopic xenografts to study tumor invasion and metastasis, the direct implantation of tumor cell suspensions is necessary when prior manipulations of tumor cells are required. However, the establishment of orthotopic xenografts using tumor cell suspensions is not mature, and a comparative study directly comparing their engraftment and metastatic capabilities is lacking. It is unclear whether tumor fragments are superior to cell suspensions for successful engraftment and metastasis. In this study, we employed three GC cell lines with varying metastatic capacities to stably express firefly luciferase for monitoring tumor progression in real time. We successfully minimized the risk of cell leakage during the orthotopic injection of tumor cell suspensions without Corning Matrigel by systematically optimizing the surgical procedure, injection volume, and needle size options. Comparable high engraftment and metastatic rates between these two methods were demonstrated using MKN-45 cells with a strong metastatic ability. Importantly, our approach can adjust the rate of tumor progression flexibly and cuts the experimental timeline from 10–12 weeks (for tumor fragments) to 4–5 weeks. Collectively, we provided a highly reproducible procedure with a shortened experimental timeline and low cost for establishing orthotopic GC xenografts via the direct implantation of tumor cell suspensions.
Navigating Precision Oncology: Insights from an Integrated Clinical Data and Biobank Repository Initiative across a Network Cancer Program
Authors: Aryal Bibek , Bizhanova Zhadyra , Joseph Edward A. , Yin Yue , Wagner Patrick L. , Dalton Emily , LaFramboise William A. , Bartlett David L. , Allen Casey J.
Published: February 2024

Advancing cancer treatment relies on the rapid translation of new scientific discoveries to patient care. To facilitate this, an oncology biobank and data repository program, also referred to as the “Moonshot” program, was launched in 2021 within the Integrated Network Cancer Program of the Allegheny Health Network. A clinical data program (CDP) and biospecimen repository were established, and patient data and blood and tissue samples have been collected prospectively. To date, the study has accrued 2920 patients, predominantly female (61%) and Caucasian (90%), with a mean age of 64 ± 13 years. The most common cancer sites were the endometrium/uterus (12%), lung/bronchus (12%), breast (11%), and colon/rectum (11%). Of patients diagnosed with cancer, 34% were diagnosed at stage I, 25% at stage II, 26% at stage III, and 15% at stage IV. The CDP is designed to support our initiative in advancing personalized cancer research by providing a comprehensive array of patient data, encompassing demographic characteristics, diagnostic details, and treatment responses. The “Moonshot” initiative aims to predict therapy responses and clinical outcomes through cancer-related biomarkers. The CDP facilitates this initiative by fostering data sharing, enabling comparative analyses, and informing the development of novel diagnostic and therapeutic methods.
Human GST P1-1 Redesigned for Enhanced Catalytic Activity with the Anticancer Prodrug Telcyta and Improved Thermostability
Authors: Ismail Aram , Govindarajan Sridhar , Mannervik Bengt
Published: February 2024

Protein engineering can be used to tailor enzymes for medical purposes, including antibody-directed enzyme prodrug therapy (ADEPT), which can act as a tumor-targeted alternative to conventional chemotherapy for cancer. In ADEPT, the antibody serves as a vector, delivering a drug-activating enzyme selectively to the tumor site. Glutathione transferases (GSTs) are a family of naturally occurring detoxication enzymes, and the finding that some of them are overexpressed in tumors has been exploited to develop GST-activated prodrugs. The prodrug Telcyta is activated by GST P1-1, which is the GST most commonly elevated in cancer cells, implying that tumors overexpressing GST P1-1 should be particularly vulnerable to Telcyta. Promising antitumor activity has been noted in clinical trials, but the wildtype enzyme has modest activity with Telcyta, and further functional improvement would enhance its usefulness for ADEPT. We utilized protein engineering to construct human GST P1-1 gene variants in the search for enzymes with enhanced activity with Telcyta. The variant Y109H displayed a 2.9-fold higher enzyme activity compared to the wild-type GST P1-1. However, increased catalytic potency was accompanied by decreased thermal stability of the Y109H enzyme, losing 99% of its activity in 8 min at 50 °C. Thermal stability was restored by four additional mutations simultaneously introduced without loss of the enhanced activity with Telcyta. The mutation Q85R was identified as an important contributor to the regained thermostability. These results represent a first step towards a functional ADEPT application for Telcyta.
Cell Death, by Any Other Name…
Authors: Kandouz Mustapha
Published: February 2024

Studies trying to understand cell death, this ultimate biological process, can be traced back to a century ago. Yet, unlike many other fashionable research interests, research on cell death is more alive than ever. New modes of cell death are discovered in specific contexts, as are new molecular pathways. But what is “cell death”, really? This question has not found a definitive answer yet. Nevertheless, part of the answer is irreversibility, whereby cells can no longer recover from stress or injury. Here, we identify the most distinctive features of different modes of cell death, focusing on the executive final stages. In addition to the final stages, these modes can differ in their triggering stimulus, thus referring to the initial stages. Within this framework, we use a few illustrative examples to examine how intercellular communication factors in the demise of cells. First, we discuss the interplay between cell–cell communication and cell death during a few steps in the early development of multicellular organisms. Next, we will discuss this interplay in a fully developed and functional tissue, the gut, which is among the most rapidly renewing tissues in the body and, therefore, makes extensive use of cell death. Furthermore, we will discuss how the balance between cell death and communication is modified during a pathological condition, i.e., colon tumorigenesis, and how it could shed light on resistance to cancer therapy. Finally, we briefly review data on the role of cell–cell communication modes in the propagation of cell death signals and how this has been considered as a potential therapeutic approach. Far from vainly trying to provide a comprehensive review, we launch an invitation to ponder over the significance of cell death diversity and how it provides multiple opportunities for the contribution of various modes of intercellular communication.
Human RPF1 and ESF1 in Pre-rRNA Processing and the Assembly of Pre-Ribosomal Particles: A Functional Study
Authors: Deryabin Alexander , Moraleva Anastasiia , Dobrochaeva Kira , Kovaleva Diana , Rubtsova Maria , Dontsova Olga , Rubtsov Yury
Published: February 2024

Ribosome biogenesis is essential for the functioning of living cells. In higher eukaryotes, this multistep process is tightly controlled and involves a variety of specialized proteins and RNAs. This pool of so-called ribosome biogenesis factors includes diverse proteins with enzymatic and structural functions. Some of them have homologs in yeast S. cerevisiae, and their function can be inferred from the structural and biochemical data obtained for the yeast counterparts. The functions of human proteins RPF1 and ESF1 remain largely unclear, although RPF1 has been recently shown to participate in 60S biogenesis. Both proteins have drawn our attention since they contribute to the early stages of ribosome biogenesis, which are far less studied than the later stages. In this study, we employed the loss-of-function shRNA/siRNA-based approach to the human cell line HEK293 to determine the role of RPF1 and ESF1 in ribosome biogenesis. Downregulating RPF1 and ESF1 significantly changed the pattern of RNA products derived from 47S pre-rRNA. Our findings demonstrate that RPF1 and ESF1 are associated with different pre-ribosomal particles, pre-60S, and pre-40S particles, respectively. Our results allow for speculation about the particular steps of pre-rRNA processing, which highly rely on the RPF1 and ESF1 functions. We suggest that both factors are not directly involved in pre-rRNA cleavage but rather help pre-rRNA to acquire the conformation favoring its cleavage.
Alcohol Promotes Lipogenesis in Sebocytes—Implications for Acne
Authors: Kleemann Johannes , Cinatl Jindrich , Hoffmann Stephanie , Zöller Nadja , Özistanbullu Deniz , Zouboulis Christos C. , Kaufmann Roland , Kippenberger Stefan
Published: February 2024

The oral consumption of alcohol (ethanol) has a long tradition in humans and is an integral part of many cultures. The causal relationship between ethanol consumption and numerous diseases is well known. In addition to the well-described harmful effects on the liver and pancreas, there is also evidence that ethanol abuse triggers pathological skin conditions, including acne. In the present study, we addressed this issue by investigating the effect of ethanol on the energy metabolism in human SZ95 sebocytes, with particular focus on qualitative and quantitative lipogenesis. It was found that ethanol is a strong trigger for lipogenesis, with moderate effects on cell proliferation and toxicity. We identified the non-oxidative metabolism of ethanol, which produced fatty acid ethyl esters (FAEEs), as relevant for the lipogenic effect—the oxidative metabolism of ethanol does not contribute to lipogenesis. Correspondingly, using the Seahorse extracellular flux analyzer, we found an inhibition of the mitochondrial oxygen consumption rate as a measure of mitochondrial ATP production by ethanol. The ATP production rate from glycolysis was not affected. These data corroborate that ethanol-induced lipogenesis is independent from oxygen. In sum, our results give a causal explanation for the prevalence of acne in heavy drinkers, confirming that alcoholism should be considered as a systemic disease. Moreover, the identification of key factors driving ethanol-dependent lipogenesis may also be relevant in the treatment of acne vulgaris.
Novel Biomarkers for Limb Girdle Muscular Dystrophy (LGMD)
Authors: Aguti Sara , Gallus Gian Nicola , Bianchi Silvia , Salvatore Simona , Rubegni Anna , Berti Gianna , Formichi Patrizia , De Stefano Nicola , Malandrini Alessandro , Lopergolo Diego
Published: February 2024

Objective: To identify novel biomarkers as an alternative diagnostic tool for limb girdle muscular dystrophy (LGMD). Background: LGMD encompasses a group of muscular dystrophies characterized by proximal muscles weakness, elevated CK levels and dystrophic findings on muscle biopsy. Heterozygous CAPN3 mutations are associated with autosomal dominant LGMD-4, while biallelic mutations can cause autosomal recessive LGMD-1. Diagnosis is currently often based on invasive methods requiring muscle biopsy or blood tests. In most cases Western blotting (WB) analysis from muscle biopsy is essential for a diagnosis, as muscle samples are currently the only known tissues to express the full-length CAPN3 isoform. Methods: We analyzed CAPN3 in a cohort including 60 LGMD patients. Selected patients underwent a complete neurological examination, electromyography, muscle biopsy, and skin biopsies for primary fibroblasts isolation. The amount of CAPN3 was evaluated by WB analysis in muscle and skin tissues. The total RNA isolated from muscle, fibroblast and urine was processed, and cDNA was used for qualitative analysis. The expression of CAPN3 was investigated by qRT-PCR. The CAPN3 3D structure has been visualized and analyzed using PyMOL. Results: Among our patients, seven different CAPN3 mutations were detected, of which two were novel. After sequencing CAPN3 transcripts from fibroblast and urine, we detected different CAPN3 isoforms surprisingly including the full-length transcript. We found comparable protein levels from fibroblasts and muscle tissue; in particular, patients harboring a novel CAPN3 mutation showed a 30% reduction in protein compared to controls from both tissues. Conclusions: Our findings showed for the first time the presence of the CAPN3 full-length transcript in urine and skin samples. Moreover, we demonstrated surprisingly comparable CAPN3 protein levels between muscle and skin samples, thus allowing us to hypothesize the use of skin biopsy and probably of urine samples as an alternative less invasive method to assess the amount of CAPN3 when molecular diagnosis turns out to be inconclusive.
P. falciparum Invasion and Erythrocyte Aging
Authors: Alves-Rosa María Fernanda , Tayler Nicole M. , Dorta Doriana , Coronado Lorena M. , Spadafora Carmenza
Published: February 2024

Plasmodium parasites need to find red blood cells (RBCs) that, on the one hand, expose receptors for the pathogen ligands and, on the other hand, maintain the right geometry to facilitate merozoite attachment and entry into the red blood cell. Both characteristics change with the maturation of erythrocytes. Some Plasmodia prefer younger vs. older erythrocytes. How does the life evolution of the RBC affect the invasion of the parasite? What happens when the RBC ages? In this review, we present what is known up until now.
Effects of Different Anti-Epileptic Drug Groups and Brushing on the Color Stability of Restorative Materials Used in Pedodontics: An In Vitro Evaluation
Authors: Dogan Mehmet Sinan , Yıldız Şemsettin
Published: February 2024

Objectives: This study will evaluate the effects of anti-epileptic drugs and brushing used in children on the color change of three restorative materials by creating an in vitro study model. Methods: Forty samples of polyacid-modified composite resin (compomer), glass ionomer cement (GIC), and composite resin (CR) were prepared. Samples were split into four groups (n = 10) and soaked in three anti-epileptic drugs (Tegretol, Depakine, Keppra) and distilled water. For each group (n = 5), two subgroups (brushing and non-brushing) were created. Discolorations [CIEDE2000 (ΔE00)] were determined initially and on days 7 and 14. The data were analyzed with a four-factor repeated measures ANOVA analysis, and a post hoc analysis Bonferroni test was used. Results: After the second week, the highest ΔE00 value was seen in the non-brushed compomer material in the Tegretol drug group (8.59 ± 0.43). In contrast, the lowest value was seen in GIC filling material-brushing-Depakine drug (3.45 ± 2.14). ΔE00 values in the brushing groups were statistically significantly lower than those in the no brushing groups (p < 0.05). Conclusions: It has been determined that the color stability of aesthetic restorative dental materials used in pediatric dentistry is affected by antiepileptic drugs. In addition, it has been determined that tooth brushing positively affects the color stability of restorative materials. Therefore, pediatric dentists should advise their patients and their relatives about this issue and take precautions.
Dependence of Nucleation Field on the Size of Soft Phase in Magnetic Hard–Soft Exchange Coupling Nanocomposites
Authors: Wang Fang , Hu Guoqi , Zhang Pengna , Feng Tangfu , Wang Yajuan , Sun Renbing , Zhang Jian
Published: February 2024

Hard–soft exchange coupling nanocomposites have critical applications in various important materials. The magnetic properties of nanocomposite permanent magnetic films improve with a higher nucleation field (Hns) of the soft magnetic phase. Hns is sensitive to the thickness (ds) of the soft magnetic layer. Understanding the dependence of Hns and irreversible field (Hirr) on ds, especially at the nanometric scale, is crucial for comprehending the magnetic mechanism and facilitating the design and preparation of high-performance nanocomposite permanent magnets. However, during the high-temperature deposition process, diffusion between hard and soft magnetic phases occurs, leading to the generation of other phases. This makes it challenging to accurately reflect the relationship between Hns and ds. To address this issue, we successfully fabricated high-quality SmCo5/Fe nanocomposite bilayer films with different soft magnetic thicknesses and high textures by controlling the preparation process. We conducted a quantitative analysis of the relationship between Hns and ds within the range of 2–40 nm. Based on the experimental results, we propose a new theoretical simulation formula that enhances the understanding of the characteristics at the interface between the soft magnetic and hard magnetic phases. The theoretical simulation results show that a thin softened hard layer of about 4–6 nm thickness exists at the interfacial region, which concurrently reverses with the soft magnetic phase during the demagnetization process. Our results offer the generality and critical basis for the further study of hard–soft nanocomposite magnetic materials.
Influence of Processing Parameters on Microstructure and Surface Hardness of Hypereutectic Al-Si-Fe-Mg Alloy via Friction Stir Processing
Authors: Liu Quan , Chen Xiaomi , Liu Kun , Cristino Valentino A. M. , Lo Kin-Ho , Xie Zhengchao , Guo Dawei , Tam Lap-Mou , Kwok Chi-Tat
Published: February 2024

In this study, the effects of friction stir processing (FSP) parameters on the microstructure and hardness of cast Al-Si-Fe-Mg alloy were investigated. Orthogonal arrays were applied in the design of the experiments. The selected parameters for the experiments included rotation speed, transverse speed, penetration depth, and tilt angle. The microstructure and hardness of the FSPed Al-Si-Fe-Mg were studied using optical and scanning electron microscopy, and microhardness testing, respectively. The quadratic model was proposed to fit the experimental data of hardness. Signal-to-noise ratio (S/N) analysis showed the maximum hardness achieved when rotation speed, transverse speed, penetration depth, and tilt angle were chosen as 1600 rpm, 400 mm/min, 0.1 mm, and 1.5°, respectively. Taguchi’s analysis of variance (ANOVA) was used to determine the significant FSP parameters on hardness, which revealed that rotation speed was the most dominant processing parameter, followed by transverse speed, tilt angle, and penetration depth. Moreover, a quadratic polynomial model was developed to predict and optimize the combination of the parameters, enabling superior mechanical properties. Subsequently, the verification of the microstructure was conducted, demonstrating good agreement between the experimental observation of the microstructure and estimated outcomes.
Enhanced Osteogenic Activity and Antibacterial Properties of Graphene Oxide-Poly(Lactic Acid) Films for the Repair of Cranial Defects in Rats
Authors: Liu Kai , Lai Wen , Wu Jianyong , Lu Yongjian
Published: February 2024

The failure of bone defect repair caused by bacterial infection is a significant clinical challenge. However, the currently utilized bone graft materials lack antibacterial properties, necessitating the development of bone repair materials with both osteoinductive and antibacterial capabilities. Graphene oxide (GO) has garnered considerable attention due to its distinctive physical, chemical, and biological characteristics. In this study, we prepared a graphene oxide-poly(lactic acid) (GO-PLA) film with exceptional biological properties. In vitro investigations demonstrated that the GO-PLA film substantially enhanced the adhesion and proliferation capacity of rat bone marrow mesenchymal stem cells (rBMSCs). Furthermore, we observed augmented alkaline phosphatase activity as well as increased expression levels of osteogenic genes in rBMSCs cultured on the GO-PLA film. Additionally, we evaluated the antibacterial activity of our samples using gram-positive Streptococcus mutans (Sm) and gram-negative Actinobacillus actinomycetemcomitans (Aa). Our findings revealed that GO doping significantly inhibited bacterial growth. Moreover, implantation experiments conducted on rat skull defects demonstrated excellent guided bone regeneration performance exhibited by the GO-PLA film. Overall, our results indicate that the GO-PLA film possesses outstanding osteogenic and antibacterial properties, making it a promising biomaterial for bone tissue regeneration.
Laser Processing of Liquid Feedstock Plasma-Sprayed Lithium Titanium Oxide Solid-State-Battery Electrode
Authors: Hasani Arman , Luya Mathis , Kamboj Nikhil , Nayak Chinmayee , Joshi Shrikant , Salminen Antti , Goel Sneha , Ganvir Ashish
Published: February 2024

The astonishing safety and capacity characteristics of solid-state-batteries are encouraging researchers and companies to work on the manufacturing, development, and characterization of battery materials. In the present work, the effects of laser beam interaction with a liquid feedstock plasma-sprayed ceramic solid-state-battery (SSB) material coating were studied. Lithium Titanium Oxide (LTO) in the form of an aqueous suspension consisting of submicron powder particles was plasma-sprayed for the first time using a high-power axial III plasma torch on an aluminum substrate. The plasma-sprayed LTO coating suspension was subsequently post-processed using a fiber laser. The energy input of the laser beam on the surface of the deposited layer was the main variable. By varying the laser power and laser processing speed, the energy input values were varied, with values of 3.8 J/mm2, 9.6 J/mm2, 765.9 J/mm2, and 1914.6 J/mm2, and their effects on some key characteristics such as laser-processed zone dimensions and chemical composition were investigated. The results indicated that changing the laser beam parameter values has appreciable effects on the geometry, surface morphology, and elemental distribution of laser-processed zones; for instance, the highest energy inputs were 33% and 152%, respectively, higher than the lowest energy input.
Crystal Structure of New Zinc-Hydroxy-Sulfate-Hydrate Zn4(OH)6SO4·2–2.25H2O
Authors: Stanimirova Tsveta , Nikolova Rositsa , Petrova Nadia
Published: February 2024

A theoretical model of the crystal structure of the newly obtained compound Zn4(OH)6SO4·2–2.25H2O based on the compilation of the crystal–chemical properties of two known zinc-hydroxy-sulfate phases—mineral namuwite and hemihydrate—is proposed. The single XRD data confirmed the model and determined the structure, with a trigonal symmetry SG of P-3, the unit cell with a = 8.3418(15) Å and c = 17.595(7) Å, and a cell volume of 1060.3(6) Å3, with Z = 2. The results show that the Zn4(OH)6SO4·2–2.5H2O crystal structure consists of an alternating paired octahedral–tetrahedral doubly decorated hydroxide layer with cationic vacancies and an aqueous interlayer.
Nigrospora humicola (Apiosporaceae, Amphisphaeriales), a New Fungus from Soil in China
Authors: Zhang Ying-Ying , Zhang Ting , Li Hai-Yan , Zheng Ran , Ren Jie , Yang Qin , Jiang Ning
Published: February 2024

The fungal genus Nigrospora is known to be a plant pathogen, endophyte, and saprobe, and it is usually isolated from various substrates like soil and air. During the surveys of soil fungi in Hebei Province of China, two isolates of Nigrospora were obtained. A multi-locus phylogeny of combined loci of the 5.8S nuclear ribosomal gene with the two flanking transcribed spacers (ITS), part of the translation elongation factor 1-alpha (tef1), and the beta-tubulin (tub2) loci, in conjunction with morphological characters were used to identify the newly collected isolates. Nigrospora humicola sp. Nov. is described and proposed herein, which differs from its phylogenetically close species N. chinensis and N. globosa by the sequences of ITS, tef1, and tub2.
COVID-19 Lockdown Effects on Sleep, Immune Fitness, Mood, Quality of Life, and Academic Functioning: Survey Data from Turkish University Students
Authors: Hendriksen Pauline A. , Tan Sema , van Oostrom Evi C. , Merlo Agnese , Bardakçi Hilal , Aksoy Nilay , Garssen Johan , Bruce Gillian , Verster Joris C.
Published: February 2024

Previous studies from the Netherlands, Germany, and Argentina revealed that the 2019 coronavirus disease (COVID-19) pandemic and associated lockdown periods had a significant negative impact on the wellbeing and quality of life of students. The negative impact of lockdown periods on health correlates such as immune fitness, alcohol consumption, and mood were reflected in their academic functioning. As both the duration and intensity of lockdown measures differed between countries, it is important to replicate these findings in different countries and cultures. Therefore, the purpose of the current study was to examine the impact of the COVID-19 pandemic on immune fitness, mood, academic functioning, sleep, smoking, alcohol consumption, healthy diet, and quality of life among Turkish students. Turkish students in the age range of 18 to 30 years old were invited to complete an online survey. Data were collected from n = 307 participants and included retrospective assessments for six time periods: (1) BP (before the COVID-19 pandemic, 1 January 2020–10 March 2020), (2) NL1 (the first no lockdown period, 11 March 2020–28 April 2021), (3) the lockdown period (29 April 2021–17 May 2021), (4) NL2 (the second no lockdown period, 18 May 2021–31 December 2021), (5) NL3 (the third no lockdown period, 1 January 2022–December 2022), and (6) for the past month. In this data descriptor article, the content of the survey and the dataset are described.
Bacterial Vaginosis (BV) and Vaginal Microbiome Disorders in Women Suffering from Polycystic Ovary Syndrome (PCOS)
Authors: Chudzicka-Strugała Izabela , Gołębiewska Iwona , Banaszewska Beata , Trzciński Mateusz , Brudecki Grzegorz , Elamin Wael , Zwoździak Barbara
Published: February 2024

Introduction: Polycystic ovary syndrome (PCOS) is a multifactorial, heterogeneous endocrine and metabolic disorder in women. Due to its association with the menstrual cycle and fertility disorders, the importance of this problem is emphasized especially in patients of reproductive age. Based on a number of analyses, the effect of PCOS on altering the diversity of the microbiome (e.g., intestinal or vaginal) is suggested. Vaginal dysbiosis can result in BV (bacterial vaginosis). The purpose of this study was to assess the prevalence of BV in patients with PCOS, as well as to determine the most reliable diagnostic factors. Material and Methods: Retrospective analysis of microbiological findings (2018–2022) of PCOS patients (n = 594) of reproductive age. The present analysis focused on the results of patients with PCOS (n = 380) and vaginal discharge with pH ≥ 4.4 and suspected BV. Biological material was a vaginal swab/vaginal secretion. The most commonly used routine methods for assessing BV were the Amsel analysis and the Nugent scoring system. Results: Patients with PCOS and vaginal fluid pH ≥ 4.4 and suspected BV (n = 380) accounted for 64% of all PCOS patients (n = 594). The relationship between pH and detection of “clue cells” showed significant dependency and increased with leukocytes. The pH measurement also showed dependency on high G. vaginalis counts. In addition, the elimination of lactic acid bacteria (LAB) in vaginal secretions was associated with an increase in the number of leukocytes with increasing pH values. A marked increase in G. vaginalis was found in more than half (56.8%) of PCOS women (n = 380) with suspected BV. No dependency was observed between the absence of LAB and the diagnosis of BV on a positive G. vaginalis culture. Of the n = 380 patients with PCOS, 191 (50%) had a Nugent score ≥ 7 positive for BV. No dependency was observed between the number of patients with Candida sp. in vaginal secretions and pH, BV (with clue cells), or elevated leukocyte levels. The LRM was adjusted and the statistical model represented by the following formula was obtained: log(p/(1 − p)) = −1.18 + 1.24 × Group4.6 + 1.08 × Group4.8 + 1.66 × Group5.4. Conclusions: Based on the present analysis, BV appears to be more common in patients with PCOS than in the non-PCOS population. Chronic inflammation in PCOS patients and abnormalities in the vaginal microbiome may predispose to the development of BV. In women with PCOS, BV may be one of the unrecognized causes of infertility or complications of pregnancy. Despite the potential link between PCOS and the development of BV, the extent to which this syndrome contributes to vaginal dysbiosis and reproductive complications requires further study.
Weighted Signed Networks Reveal Interactions between US Foreign Exchange Rates
Authors: Yang Leixin , Wang Haiying , Gu Changgui , Yang Huijie
Published: February 2024

Correlations between exchange rates are valuable for illuminating the dynamics of international trade and the financial dynamics of countries. This paper explores the changing interactions of the US foreign exchange market based on detrended cross-correlation analysis. First, we propose an objective way to choose a time scale parameter appropriate for comparing different samples by maximizing the summed magnitude of all DCCA coefficients. We then build weighted signed networks under this optimized time scale, which can clearly display the complex relationships between different exchange rates. Our study shows negative cross-correlations have become pyramidally rare in the past three decades. Both the number and strength of positive cross-correlations have grown, paralleling the increase in global interconnectivity. The balanced strong triads are identified subsequently after the network centrality analysis. Generally, while the strong development links revealed by foreign exchange have begun to spread to Asia since 2010, Europe is still the center of world finance, with the euro and Danish krone consistently maintaining the closest balanced development relationship. Finally, we propose a fluctuation propagation algorithm to investigate the propagation pattern of fluctuations in the inferred exchange rate networks. The results show that, over time, fluctuation propagation patterns have become simpler and more predictable.
Examining Teacher Attrition through the Experiences of Former Teachers before and during the COVID-19 Pandemic
Authors: Devers Kimberley , Duyar Ibrahim , Buchanan Karen
Published: February 2024

Schools across the nation are impacted by the influx of teachers leaving the profession. Record-high teacher shortages devastate public schools as classrooms remain unstaffed, and students miss quality instruction. The current study examined the experiences of former teachers before and during the COVID-19 pandemic that led to their exit from the profession. The overall research question was, “What experiences led teachers to exit the profession before and during the COVID-19 pandemic?” Using Maslach’s Burnout Theory as a guiding framework, qualitative data were collected during 10 in-depth interviews with former educators. Ten participants were selected using purposive sampling for interviews. The following criteria were utilized to select participants for interviews: taught in a South Carolina public school for at least eight years, taught during the pandemic, and quit or retired early. Potential limitations that were identified for the study included a limited number of participants, the emotional distress of reliving leaving the teaching profession, and the utilization of a virtual platform to conduct interviews. Data analyses resulted in the following themes contributing to teacher attrition: Lack of support from the administration, lack of professional autonomy, and increased stress. These were the most consistent themes noted before and during the pandemic. This research study provides educational leaders and policy makers with the voices of teachers who have left the profession, thus providing valuable data to make informed decisions in an effort to reverse the current teacher attrition trend. The determinants of teacher shortage identified in the data analysis of this phenomenological study can be addressed immediately within individual schools to help resolve the teacher shortage. Recommendations for future practice include administrators developing trusting relationships with teachers as well as educational leaders providing educators with a voice in decisions that affect their classrooms.
Assessing Risks on China’s Natural Gas Supply under Carbon Peaking Policies from Foreign–Domestic Perspectives
Authors: Chen Mengyang , Li Nan , Mu Hailin
Published: February 2024

China’s natural gas supply has been challenged in the past few years by non-traditional risks such as trading conflicts, the COVID-19 pandemic, and the country’s own emission policy. To ensure energy security and supply, conducting an up-to-date risk analysis of China’s natural gas supply status is crucial. This research utilized the Fuzzy-AHP method to compose a risk index and assessed the key links within China’s natural gas supply chain from the import side to the domestic side. The results indicate that (a) for China’s gas import, the most influential risks are the correlated dependence risk, international relation risk, and supplier internal stability risk. (b) While the dependence risk and transport risk have decreased sharply in the past decade, the import risk is still China’s major concern on natural gas supply. (c) Emissions-peaking and carbon neutrality targets are potential challenges, which the country would possibly face in the near future.
Neural Network Control of Perishable Inventory with Fixed Shelf Life Products and Fuzzy Order Refinement under Time-Varying Uncertain Demand
Authors: Chołodowicz Ewelina , Orłowski Przemysław
Published: February 2024

Many control algorithms have been applied to manage the flow of products in supply chains. However, in the era of thriving globalization, even a small disruption can be fatal for some companies. On the other hand, the rising environmental impact of a rapid industry is imposing limitations on energy usage and waste generation. Therefore, taking into account the mentioned perspectives, there is a need to explore the research directions that concern product perishability together with different demand patterns and their uncertain character. This study aims to propose a robust control approach that combines neural networks and optimal controller tuning with the use of both different demand patterns and fuzzy logic. Firstly, the demand forecast is generated, following which the parameters of the neural controller are optimized, taking into account the different demand patterns and uncertainty. As part of the verification of the designated controller, the sensitivity to parameter changes has been determined using the OAT method. It turns out that the proposed approach can provide significant waste reductions compared to the well-known POUT method while maintaining low stocks, a high fill rate, and providing lower sensitivity for parameter changes in most considered cases. The effectiveness of this approach is verified by using a dataset from a worldwide retailer. The simulation results show that the proposed approach can effectively improve the control of uncertain perishable inventories.