bluuebunny/crossref_metadata_2025 huggingface dataset:
Porous Carbon Spheres Derived from Hemicelluloses for Supercapacitor Application
Authors: Wang Yuanyuan , Lu Chengshuai , Cao Xuefei , Wang Qiang , Yang Guihua , Chen Jiachuan
Published: June 2022

With the increasing demand for dissolving pulp, large quantities of hemicelluloses were generated and abandoned. These hemicelluloses are very promising biomass resources for preparing carbon spheres. However, the pore structures of the carbon spheres obtained from biomass are usually poor, which extensively limits their utilization. Herein, the carbon microspheres derived from hemicelluloses were prepared using hydrothermal carbonization and further activated with different activators (KOH, K2CO3, Na2CO3, and ZnCl2) to improve their electrochemical performance as supercapacitors. After activation, the specific surface areas of these carbon spheres were improved significantly, which were in the order of ZnCl2 > K2CO3 > KOH > Na2CO3. The carbon spheres with high surface area of 2025 m2/g and remarkable pore volume of 1.07 cm3/g were achieved, as the carbon spheres were activated by ZnCl2. The supercapacitor electrode fabricated from the ZnCl2-activated carbon spheres demonstrated high specific capacitance of 218 F/g at 0.2 A/g in 6 M KOH in a three-electrode system. A symmetric supercapacitor was assembled in 2 M Li2SO4 electrolyte, and the carbon spheres activated by ZnCl2 showed excellent electrochemical performance with high specific capacitance (137 F/g at 0.5 A/g), energy densities (15.4 Wh/kg), and good cyclic stability (95% capacitance retention over 2000 cycles).
Centipede Venom: A Potential Source of Ion Channel Modulators
Authors: Luo Anna , Wang Aili , Kamau Peter Muiruri , Lai Ren , Luo Lei
Published: June 2022

Centipedes are one of the most ancient and successful living venomous animals. They have evolved spooky venoms to deter predators or hunt prey, and are widely distributed throughout the world besides Antarctica. Neurotoxins are the most important virulence factor affecting the function of the nervous system. Ion channels and receptors expressed in the nervous system, including NaV, KV, CaV, and TRP families, are the major targets of peptide neurotoxins. Insight into the mechanism of neurotoxins acting on ion channels contributes to our understanding of the function of both channels and centipede venoms. Meanwhile, the novel structure and selective activities give them the enormous potential to be modified and exploited as research tools and biological drugs. Here, we review the centipede venom peptides that act on ion channels.
Human PARP1 Facilitates Transcription through a Nucleosome and Histone Displacement by Pol II In Vitro
Authors: Kotova Elena Y. , Hsieh Fu-Kai , Chang Han-Wen , Maluchenko Natalia V. , Langelier Marie-France , Pascal John M. , Luse Donal S. , Feofanov Alexey V. , Studitsky Vasily M.
Published: June 2022

Human poly(ADP)-ribose polymerase-1 (PARP1) is a global regulator of various cellular processes, from DNA repair to gene expression. The underlying mechanism of PARP1 action during transcription remains unclear. Herein, we have studied the role of human PARP1 during transcription through nucleosomes by RNA polymerase II (Pol II) in vitro. PARP1 strongly facilitates transcription through mononucleosomes by Pol II and displacement of core histones in the presence of NAD+ during transcription, and its NAD+-dependent catalytic activity is essential for this process. Kinetic analysis suggests that PARP1 facilitates formation of “open” complexes containing nucleosomal DNA partially uncoiled from the octamer and allowing Pol II progression along nucleosomal DNA. Anti-cancer drug and PARP1 catalytic inhibitor olaparib strongly represses PARP1-dependent transcription. The data suggest that the negative charge on protein(s) poly(ADP)-ribosylated by PARP1 interact with positively charged DNA-binding surfaces of histones transiently exposed during transcription, facilitating transcription through chromatin and transcription-dependent histone displacement/exchange.
Human Evaluation of English–Irish Transformer-Based NMT
Authors: Lankford Séamus , Afli Haithem , Way Andy
Published: June 2022

In this study, a human evaluation is carried out on how hyperparameter settings impact the quality of Transformer-based Neural Machine Translation (NMT) for the low-resourced English–Irish pair. SentencePiece models using both Byte Pair Encoding (BPE) and unigram approaches were appraised. Variations in model architectures included modifying the number of layers, evaluating the optimal number of heads for attention and testing various regularisation techniques. The greatest performance improvement was recorded for a Transformer-optimized model with a 16k BPE subword model. Compared with a baseline Recurrent Neural Network (RNN) model, a Transformer-optimized model demonstrated a BLEU score improvement of 7.8 points. When benchmarked against Google Translate, our translation engines demonstrated significant improvements. Furthermore, a quantitative fine-grained manual evaluation was conducted which compared the performance of machine translation systems. Using the Multidimensional Quality Metrics (MQM) error taxonomy, a human evaluation of the error types generated by an RNN-based system and a Transformer-based system was explored. Our findings show the best-performing Transformer system significantly reduces both accuracy and fluency errors when compared with an RNN-based model.
GIS Integration of DInSAR Measurements, Geological Investigation and Historical Surveys for the Structural Monitoring of Buildings and Infrastructures: An Application to the Valco San Paolo Urban Area of Rome
Authors: Miano Andrea , Di Carlo Fabio , Mele Annalisa , Giannetti Ilaria , Nappo Nicoletta , Rompato Matteo , Striano Pasquale , Bonano Manuela , Bozzano Francesca , Lanari Riccardo , Mazzanti Paolo , Meda Alberto , Prota Andrea , Scarascia Mugnozza Gabriele
Published: June 2022

Structural health monitoring is a crucial issue in areas with different hazard sources, such as Italy. Among non-invasive monitoring techniques, remote sensing provides useful information in supporting the management process and safety evaluations, reducing the impact of disturbances on the functionality of construction systems. The ground displacement time-series based on the analysis of Differential Interferometric Synthetic Aperture Radar (DInSAR) measurements, as well as the information about the geology of the area and the geometry of the construction under monitoring, provides useful data for the built environment’s structural assessment. This paper focuses on the structural monitoring and damage assessment of constructions based on the GIS integration of DInSAR measurements, geological investigation, historical surveys and 3D modeling. The methodology is applied to the residential area of Valco San Paolo in the city of Rome (Italy). Once the geological interpretation has confirmed the results of the DInSAR measurements, a quick damage assessment that considers all the possible conditions of the pre-existing damage at the time zero of the monitoring is shown for a damaged manufact in the area. The presented results highlight how the strategy to correlate the DInSAR-monitored ground settlements with the damage scales allows potentially to monitor continuous construction systems.
Synthesis, Structures and Chemical Reactivity of Dithiolato-Bridged Ni-Fe Complexes as Biomimetics for the Active Site of [NiFe]-Hydrogenases
Authors: Song Li-Cheng , Chen Shuai , Han Xiao-Feng , Zhang Zhen-Qing , Wang Yin-Peng , Dong Yi-Xiong
Published: June 2022

To develop the structural and functional modeling chemistry of [NiFe]-H2ases, we have carried out a study regarding the synthesis, structural characterization and reactivity of a new series of [NiFe]-H2ase model complexes. Thus, treatment of diphosphine dppb-chelated Ni complex (dppb)NiCl2 (dppb = 1,2-(Ph2P)2C6H4) with (dppv)Fe(CO)2(pdt) (dppv = 1,2-(Ph2P)2C2H2, pdt = 1,3-propanedithiolate) and NaBF4 gave dicarbonyl complex [(dppb)Ni(pdt)Fe(CO)2(dppv)](BF4)2 ([A](BF4)2). Further treatment of [A](BF4)2 with Me3NO and Bu4NCN or KSCN afforded t-cyanido and t-isothiocyanato complexes [(dppb)Ni(pdt)Fe(CO)(t-R)(dppv)]BF4 ([1]BF4, R = CN; [2]BF4, R = NCS), respectively. While azadiphosphine MeN(CH2PPh2)2-chelated t-hydride complex [MeN(CH2PPh2)2Ni(pdt)Fe(CO)(t-H)(dppv)]BF4 ([3]BF4) was prepared by treatment of dicarbonyl complex [MeN(CH2PPh2)2Ni(pdt)Fe(CO)2(dppv)](BF4)2 ([B](BF4)2) with Me3NO and 1.5 MPa of H2, treatment of dicarbonyl complex [B](BF4)2 with Me3NO (without H2) in pyridine resulted in formation of a novel monocarbonyl complex [MeN(CH2PPh2)2Ni(SCHCH2CH2S)Fe(CO)(dppv)]BF4 ([4]BF4) via the unexpected sp3 C-H bond activation reaction. Furthermore, azadiphosphine PhN(CH2PPh2)2-chelated µ-mercapto complex [PhN(CH2PPh2)2Ni(pdt)Fe(CO)(µ-SH)(dppv)]BF4 ([5]BF4) was prepared by treatment of dicarbonyl complex [PhN(CH2PPh2)2Ni(pdt)Fe(CO)2(dppv)](BF4)2 ([C](BF4)2) with Me3NO and H2S gas, whereas treatment of azadiphosphine Ph2CHN(CH2PPh2)2-chelated dicarbonyl complex [Ph2CHN(CH2PPh2)2Ni(pdt)Fe(CO)2(dppe)](BF4)2 ([D](BF4)2, dppe = 1,2-(Ph2P)2C2H4) with Me3NO⋅2H2O gave rise to µ-hydroxo complex [Ph2CHN(CH2PPh2)2Ni(pdt)Fe(CO)(µ-OH)(dppe)]BF4 ([6]BF4). All the possible pathways for formation of the new model complexes are briefly discussed, and their structures were fully characterized by various spectroscopic techniques and for six of them by X-ray crystallography.
Effect of Abiotic Climatic Factors on the Gonadal Maturation of the Biocontrol Agent Sphaerophoria rueppellii (Wiedemann, 1830) (Diptera: Syrphidae)
Authors: Orengo-Green José J. , Casas José L. , Marcos-García Mª. Ángeles
Published: June 2022

The hoverfly Sphaerophoria rueppellii is currently one of the most effective predators commercially available for aphid pest control. However, knowledge of the reproductive system of males and females of this syrphid is limited. The present article aims to report how changes in the temperature and photoperiod may affect development of the gonads (ovaries and testes), oviposition, and fecundity during the lifespan of S. rueppellii. Four environmental conditions (14L:10D, T: 20 ± 1 °C; 12L:12D, T: 20 ± 1 °C; 14L:10D, T: 25 ± 1 °C; and 12L:12D, T: 25 ± 1 °C) were used to determine oviposition, hatching percentage, and lifespan during a period of 30 days after the adult emergence. The maturation of the ovaries was done under three treatments (barley leaves with aphids always available; barley leaves two days per week with aphids available; no barley leaves available), and in the same environmental conditions noted above. Males at 14L:10D, 20 ± 1 °C; and 14L:10D, 25 ± 1 °C; were used to analyze and study the maturation of the testes. Females at 14L:10D; T: 25 ± 1 °C showed a significant difference in oviposition, percentage of hatching, and rate of eggs. A detailed description of the male and female gonads was undertaken, and it was determined that the conditions in which males sexually mature early are at 14L:10D, 25 ± 1 °C. These results will improve the application of S. rueppellii in crops, for the control of aphid pests.
The Impact of Insect Flour on Sourdough Fermentation-Fatty Acids, Amino-Acids, Minerals and Volatile Profile
Authors: Vasilica Beldean (Tătar) Bianca , Chiș Maria Simona , Alexa Ersilia , Pop Carmen , Păucean Adriana , Man Simona , Igual Marta , Haydee Kovacs Melinda , Dalma Kovacs Emoke , Stănilă Sorin , Socaci Sonia , Fărcaș Anca , Berbecea Adina , Popescu Iuliana , Muste Sevastița
Published: June 2022

Acheta domesticus (L.1758) has been recently accepted by the European Union as a novel food, being the third insect that has been approved for human consumption. Nowadays, researchers’ attention is focused on exploiting new protein sustainable sources, and, therefore, insect flour has gained more and more interest. Organic acids, fatty acids, amino acids, aroma volatile compounds, and minerals were analyzed through HPLC-RID (High-performance liquid chromatography), GC-MS (Gas chromatography-mass spectrometry), LC-MS (Liquid chromatography–mass spectrometry), ITEX/GC-MS and AAS (Atomic Absorption Spectrophotometry), respectively. Fermentation of the insect flour with Lactobacillus plantarum ATCC 8014 strain (Lp) leads to an increase in organic acids such as lactic, acetic, and oxalic, whilst citric acid decreases its value. SFA (saturated fatty acids) and MUFA (monosaturated fatty acids) groups were positively influenced by Lp fermentation; meanwhile, PUFA (polysaturated fatty acids) decreased during fermentation. A positive trend was observed for amino acids, aroma volatile content, and minerals enhancement during insect sourdough fermentation, mainly at 24 h of fermentation. Acheta domesticus (A. domesticus) sourdough fermentation represents a new tool that needs to be further exploited aiming to improve the nutritional qualities of the final products.
Metabolic Tolerance to Atmospheric Pressure of Two Freshwater Endemic Amphipods Mostly Inhabiting the Deep-Water Zone of the Ancient Lake Baikal
Authors: Madyarova Ekaterina , Shirokova Yulia , Gurkov Anton , Drozdova Polina , Baduev Boris , Lubyaga Yulia , Shatilina Zhanna , Vishnevskaya Maria , Timofeyev Maxim
Published: June 2022

Lake Baikal is the only freshwater reservoir inhabited by deep-water fauna, which originated mostly from shallow-water ancestors. Ommatogammarus flavus and O. albinus are endemic scavenger amphipods (Amphipoda, Crustacea) dwelling in wide depth ranges of the lake covering over 1300 m. O. flavus had been previously collected close to the surface, while O. albinus has never been found above the depth of 47 m. Since O. albinus is a promising model species for various research, here we tested whether O. albinus is less metabolically adapted to atmospheric pressure than O. flavus. We analyzed a number of energy-related traits (contents of glucose, glycogen and adenylates, as well as lactate dehydrogenase activity) and oxidative stress markers (activities of antioxidant enzymes and levels of lipid peroxidation products) after sampling from different depths and after both species’ acclimation to atmospheric pressure. The analyses were repeated in two independent sampling campaigns. We found no consistent signs of metabolic disturbances or oxidative stress in both species right after lifting. Despite O. flavus surviving slightly better in laboratory conditions, during long-term acclimation, both species showed comparable reactions without critical changes. Thus, the obtained data favor using O. albinus along with O. flavus for physiological research under laboratory conditions.
To Every Thing There Is a Season: Phenology and Photoperiodic Control of Seasonal Development in the Invasive Caucasian Population of the Brown Marmorated Stink Bug, Halyomorpha halys (Hemiptera: Heteroptera: Pentatomidae)
Authors: Reznik Sergey Ya. , Karpun Natalia N. , Zakharchenko Vilena Ye. , Shoshina Yelena I. , Dolgovskaya Margarita Yu. , Saulich Aida Kh. , Musolin Dmitry L.
Published: June 2022

Studies on the phenology of local populations of invasive insects are necessary for monitoring and predicting their dispersion. We investigated the phenology of the brown marmorated stink bug, Halyomorpha halys, in the Sochi region (Krasnodar Territory, Russia) from 2018 to 2021 by regular field sampling and dissecting. The results of the sampling suggest that H. halys is at least partially bivoltine in the studied region: the main period of mass oviposition (by the overwintered females) occurs from June to July; the second, much shorter period of egg-laying (by females of the new, i.e., the first generation) occurs in August. Reproductively active individuals (i.e., females with developed ovaries and filled spermatheca and males with filled ectodermal sac) were recorded from the end of May to the beginning of September. Such a seasonal pattern correlated with day length: when the natural photoperiod decreased below the experimentally determined critical day length (15.0–15.5 h), the proportions of females with fully developed ovaries sharply dropped to zero. Both the rate of H. halys pre-adult development and the timing of the induction of winter adult diapause observed under natural conditions fully agreed with the earlier predictions that had been based on the results of laboratory experiments.
Larval Crowding Did Not Enhance Adult Migration Propensity in Spodoptera frugiperda
Authors: Lü Weixiang , Meng Linghe , Jiang Xingfu , Cheng Yunxia , Zhang Lei
Published: June 2022

Reproduction and flight are two major adaptive strategies to cope with environmental stress in migratory insects. However, research on density-mediated flight and reproduction in the global migratory agricultural pest Spodoptera frugiperda is lacking. In this study, flight and reproductive performances in response to larval crowding were investigated in S. frugiperda. We found that larval crowding significantly reduced the pupal and body weights of S. frugiperda. Adults reared under the highest density of 30 larvae/jar had the minimum wing expansion, which was significantly smaller than that of larvae reared under solitary conditions. Larval crowding also significantly increased the pre-oviposition period (POP) and period of first oviposition (PFO) but decreased the lifetime fecundity, flight duration and flight distance. Our results showed that S. frugiperda reared under solitary conditions exhibited higher pupal and body weights and stronger reproductive and flight capacities than those reared under high-density conditions. Larval crowding did not enhance the migration propensity in S. frugiperda adults. In conclusion, larval crowding may not be a major factor affecting FAW migration due to high levels of cannibalism. These findings provide new insights into the population dynamics of S. frugiperda under larval crowding conditions.
The Role of Insect Symbiotic Bacteria in Metabolizing Phytochemicals and Agrochemicals
Authors: Zhao Man , Lin Xingyu , Guo Xianru
Published: June 2022

The diversity and high adaptability of insects are heavily associated with their symbiotic microbes, which include bacteria, fungi, viruses, protozoa, and archaea. These microbes play important roles in many aspects of the biology and physiology of insects, such as helping the host insects with food digestion, nutrition absorption, strengthening immunity and confronting plant defenses. To maintain normal development and population reproduction, herbivorous insects have developed strategies to detoxify the substances to which they may be exposed in the living habitat, such as the detoxifying enzymes carboxylesterase, glutathione-S-transferases (GSTs), and cytochrome P450 monooxygenases (CYP450s). Additionally, insect symbiotic bacteria can act as an important factor to modulate the adaptability of insects to the exposed detrimental substances. This review summarizes the current research progress on the role of insect symbiotic bacteria in metabolizing phytochemicals and agrochemicals (insecticides and herbicides). Given the importance of insect microbiota, more functional symbiotic bacteria that modulate the adaptability of insects to the detrimental substances to which they are exposed should be identified, and the underlying mechanisms should also be further studied, facilitating the development of microbial-resource-based pest control approaches or protective methods for beneficial insects.
Mass Transfer Effects on the Mucus Fluid with Pulsatile Flow Influence of the Electromagnetic Field
Authors: Thiyagarajan Padmavathi , Sathiyamoorthy Senthamilselvi , Loganathan Karuppusamy , Makinde Oluwole Daniel , Sarris Ioannis E.
Published: June 2022

The influence of pulsatile flow on the oscillatory motion of an incompressible conducting boundary layer mucus fluid flowing through porous media in a channel with elastic walls is investigated. The oscillatory flow is treated as a cyclical time-dependent flux. The Laplace transform method using the Womersley number is used to solve non-linear equations controlling the motion through porous media under the influence of an electromagnetic field. The theoretical pulsatile flow of two liquid phase concurrent fluid streams, one kinematic and the other viscoelastic, is investigated in this study. To extend the model for various physiological fluids, we postulate that the viscoelastic fluid has several distinct periods. We also apply our analytical findings to mucus and airflow in the airways, identifying the wavelength that increases dynamic mucus permeability. The microorganism’s thickness, velocity, energy, molecular diffusion, skin friction, Nusselt number, Sherwood number, and Hartmann number are evaluated. Discussion is also supplied in various sections to investigate the mucosal flow process.
Arrhythmias and Heart Failure in Pregnancy: A Dialogue on Multidisciplinary Collaboration
Authors: Tamirisa Kamala P. , Dye Cicely , Bond Rachel M. , Hollier Lisa M. , Marinescu Karolina , Vaseghi Marmar , Russo Andrea M. , Gulati Martha , Volgman Annabelle Santos
Published: June 2022

The prevalence of CVD in pregnant people is estimated to be around 1 to 4%, and it is imperative that clinicians that care for obstetric patients can promptly and accurately diagnose and manage common cardiovascular conditions as well as understand when to promptly refer to a high-risk obstetrics team for a multidisciplinary approach for managing more complex patients. In pregnant patients with CVD, arrhythmias and heart failure (HF) are the most common complications that arise. The difficulty in the management of these patients arises from variable degrees of severity of both arrhythmia and heart failure presentation. For example, arrhythmia-based complications in pregnancy can range from isolated premature ventricular contractions to life-threatening arrhythmias such as sustained ventricular tachycardia. HF also has variable manifestations in pregnant patients ranging from mild left ventricular impairment to patients with advanced heart failure with acute decompensated HF. In high-risk patients, a collaboration between the general obstetrics, maternal-fetal medicine, and cardiovascular teams (which may include cardio-obstetrics, electrophysiology, adult congenital, or advanced HF)—physicians, nurses and allied professionals—can provide the multidisciplinary approach necessary to properly risk-stratify these women and provide appropriate management to improve outcomes.
Myocardial Bridging Leading to Cardiac Collapse in a Marathon Runner
Authors: Alexandre André , Vieira Pinheiro , Dias-Frias André , Pereira Anaisa , Campinas Andreia , Sá-Couto David , Brochado Bruno , Sá Isabel , Silveira João , Torres Severo
Published: June 2022

Myocardial bridging (MB) is a congenital coronary anomaly, which is defined as cardiac muscle overlying a portion of a coronary artery. Although traditionally considered benign in nature, increasing attention is being given to specific subsets of MB. Sports medicine recognizes MB as a cause of sudden death among young athletes. We present a case of a 30-year-old man who suddenly collapsed during a marathon running. Diagnostic workup with coronary computed tomography angiography revealed the presence of three simultaneous myocardial bridges in this patient, possibly explaining the exercise-induced syncope. The other diagnostic tests excluded seizures, cranioencephalic lesions, ionic or metabolic disturbances, acute coronary syndromes, cardiomyopathies, myocarditis, or conduction disturbances. Exertional syncope is a high-risk complaint in the marathon runner. In the context of intense physical activity, the increased sympathetic tone leading to tachycardia and increased myocardial contractility facilitates MB ischemia. In this illustrative case, the patient’s syncope might probably be associated with an ischemia-induced arrhythmia secondary to MB and potentiated by dehydration in the context of prolonged stress (marathon running). In conclusion, this case highlights that MB may be associated with dangerous complications (myocardial ischemia and life-threatening ventricular arrhythmias), particularly during intense physical activity and in the presence of a long myocardial bridge.
Congenital Heart Disease: The State-of-the-Art on Its Pharmacological Therapeutics
Authors: Varela-Chinchilla Carlos Daniel , Sánchez-Mejía Daniela Edith , Trinidad-Calderón Plinio A.
Published: June 2022

Congenital heart disease is one of the most common causes of death derived from malformations. Historically, its treatment has depended on timely diagnosis and early pharmacological and surgical interventions. Survival rates for patients with this disease have increased, primarily due to advancements in therapeutic choices, but mortality remains high. Since this disease is a time-sensitive pathology, pharmacological interventions are needed to improve clinical outcomes. Therefore, we analyzed the applications, dosage, and side effects of drugs currently used for treating congenital heart disease. Angiotensin-converting enzyme inhibitors, angiotensin receptor blockers, beta-blockers, and potassium-sparing diuretics have shown a mortality benefit in most patients. Other therapies, such as endothelin receptor antagonists, phosphodiesterase-5 inhibitors, prostaglandins, and soluble guanylyl cyclase stimulators, have benefited patients with pulmonary artery hypertension. Likewise, the adjunctive symptomatic treatment of these patients has further improved the outcomes, since antiarrhythmics, digoxin, and non-steroidal anti-inflammatory drugs have shown their benefits in these cases. Conclusively, these drugs also carry the risk of troublesome adverse effects, such as electrolyte imbalances and hemodynamic compromise. However, their benefits for survival, symptom improvement, and stabilization outweigh the possible complications from their use. Thus, cases must be assessed individually to accurately identify interventions that would be most beneficial for patients.
Medication Adherence and Belief about Medication among Vietnamese Patients with Chronic Cardiovascular Diseases within the Context of Implementing Measures to Prevent COVID-19
Authors: Nguyen Nguyet Kim , Diep Han Gia , Ly Hung Huynh Vinh , Nguyen Ngoc Le Minh , Taxis Katja , Pham Suol Thanh , Vo Trang Huynh , Nguyen Thang
Published: June 2022

Background: Long-term adherence is crucial for optimal treatment outcomes in chronic cardiovascular diseases (CVDs), especially throughout the COVID-19 wide-spreading periods, making patients with chronic CVDs vulnerable subjects. Aim: To investigate the relationship between the characteristics, beliefs about prescribed medication, COVID-19 prevention measures, and medication adherence among patients with chronic CVDs. Methods: This is a cross-sectional study of outpatients with chronic CVDs in Southern Vietnam. The specific parts regarding the Beliefs about Medicines Questionnaires (BMQ—Specific) and the General Medication Adherence Scale (GMAS) were applied to assess the beliefs about and adherence to medication. The implementation measures to prevent COVID-19 in patients were evaluated according to the 5K message (facemask, disinfection, distance, no gathering, and health declaration) of the Vietnam Ministry of Health. A multivariable logistic regression with the Backward elimination (Wald) method was used to identify the associated factors of medication adherence. Results: A slightly higher score in BMQ-Necessity compared to BMQ-Concerns was observed. A total of 40.7% of patients were recorded as having not adhered to their medications. Patients’ behavior was most frequently self-reported by explaining their non-adherence (34.7%). Statistical associations were found between rural living place, unemployment status, no or only one measure(s) of COVID-19 prevention application, and medication adherence. Conclusion: During the COVID-19 spreading stage, patients generally showed a positive belief about medication when they rated the importance of taking it higher than its side effects. The data analysis suggested that rather than patients’ beliefs, the clinicians should consider the patient factors, including living place, employment, and the number of epidemic preventive measures applied for guiding the target patients for improving medication adherence.
Remote Photoplethysmography Is an Accurate Method to Remotely Measure Respiratory Rate: A Hospital-Based Trial
Authors: Allado Edem , Poussel Mathias , Renno Justine , Moussu Anthony , Hily Oriane , Temperelli Margaux , Albuisson Eliane , Chenuel Bruno
Published: June 2022

Remote photoplethysmography imaging (rPPG) is a new solution proposed to measure vital signs, such as respiratory rate (RR) in teleconsultation, by using a webcam. The results, presented here, aim at evaluating the accuracy of such remote measurement methods, compared with existing measurement methods, in a real-life clinical setting. For each patient, measurement of RR, using the standard system (control), has been carried out concomitantly with the experimental system. A 60-s time frame was used for the measurements made by our rPPG system. Age, gender, BMI, and skin phototype were collected. We performed the intraclass correlation coefficient and Bland–Altman plot to analyze the accuracy and precision of the rPPG algorithm readings. Measurements of RR, using the two methods, have been realized on 963 patients. Comparison of the two techniques showed excellent agreement (96.0%), with most of the patients (n = 924—standard patients) being in the confidence interval of 95% in Bland–Altman plotting. There were no significant differences between standard patients and outlier patients for demographic and clinical characteristics. This study indicates a good agreement between the rPPG system and the control, thus allowing clinical use of this remote assessment of the respiratory rate.
Does an Adjustable-Loop Device Loosen following ACL Reconstruction with a Hamstring Graft? A Retrospective Study with a Follow-Up of Two Years
Authors: Khan Mohammad Jesan , Asif Naiyer , Aziz Mohd Hadi , Raza Ariz , Anwar Shahzad , Nuhmani Shibili , Alghadir Ahmad H. , Khan Masood
Published: June 2022

Arthroscopic anatomic anterior cruciate ligament reconstruction (ACLR) is the gold standard treatment for an ACL tear and requires the use of fixed or adjustable-loop devices to fix a femoral-side graft. Although the adjustable mechanism is designed to provide one-way tensioning, there is a concern that the adjustable loop will loosen and lengthen during cyclic loads, creating graft laxity. The present paper is a retrospective study of patients who underwent ACLR with the fixation of a hamstring graft with an adjustable loop on the femoral side from November 2016 to October 2018. The knee’s functional outcome was evaluated using an International Knee Documentation Committee (IKDC) score, Lysholm score, Lachman test, and pivot shift test. The patients were assessed preoperatively and finally postoperatively after two years of surgery. Thirty-two patients were analyzed. Significant improvement was obtained in the final clinical outcome of the patients. Twenty-seven patients (84.4%) were Lachman negative, and twenty-eight patients (87.5%) were pivot shift test negative, the mean Lysholm score was 96.91, and the IKDC score was 91.47 (p < 0.001). There was no infection, graft failure, or flexion restriction. Arthroscopic ACLR with an adjustable-loop suspensory device is a successful fixation method for femoral-side graft fixation and offers a similar functional outcome as with fixed-loop devices.
The Role of Insulin Resistance in Fueling NAFLD Pathogenesis: From Molecular Mechanisms to Clinical Implications
Authors: Palma Rossella , Pronio Annamaria , Romeo Mario , Scognamiglio Flavia , Ventriglia Lorenzo , Ormando Vittorio Maria , Lamazza Antonietta , Pontone Stefano , Federico Alessandro , Dallio Marcello
Published: June 2022

Non-alcoholic fatty liver disease (NAFLD) represents a predominant hepatopathy that is rapidly becoming the most common cause of hepatocellular carcinoma worldwide. The close association with metabolic syndrome’s extrahepatic components has suggested the nature of the systemic metabolic-related disorder based on the interplay between genetic, nutritional, and environmental factors, creating a complex network of yet-unclarified pathogenetic mechanisms in which the role of insulin resistance (IR) could be crucial. This review detailed the clinical and pathogenetic evidence involved in the NAFLD–IR relationship, presenting both the classic and more innovative models. In particular, we focused on the reciprocal effects of IR, oxidative stress, and systemic inflammation on insulin-sensitivity disruption in critical regions such as the hepatic and the adipose tissue, while considering the impact of genetics/epigenetics on the regulation of IR mechanisms as well as nutrients on specific insulin-related gene expression (nutrigenetics and nutrigenomics). In addition, we discussed the emerging capability of the gut microbiota to interfere with physiological signaling of the hormonal pathways responsible for maintaining metabolic homeostasis and by inducing an abnormal activation of the immune system. The translation of these novel findings into clinical practice could promote the expansion of accurate diagnostic/prognostic stratification tools and tailored pharmacological approaches.
Anaesthesia-Relevant Disease Manifestations and Perianaesthetic Complications in Patients with Mucolipidosis—A Retrospective Analysis of 44 Anaesthetic Cases in 12 Patients
Authors: Ammer Luise Sophie , Muschol Nicole Maria , Santer René , Lang Annika , Breyer Sandra Rafaela , Sasu Phillip Brenya , Petzoldt Martin , Dohrmann Thorsten
Published: June 2022

Mucolipidosis (ML) type II, intermediate, and III are lysosomal storage disorders with progressive multiorgan manifestations predisposing patients to a high risk of perioperative morbidity. The aims of the study were to systematically assess disease manifestations relevant to anaesthesia as well as anaesthesia-related complications. This retrospective study includes ML patients who underwent anaesthesia in two centres between 2008 and 2022. We reviewed patients’ demographics, medical history, disease manifestations, as well as procedure- and outcome-related data. A total of 12 patients (7 MLII, 2 ML intermediate, 3 MLIII) underwent 44 anaesthesia procedures (per patient: median 3, range 1–11). The median age was 3.3 years (range 0.1–19.1). At least one complication occurred in 27.3% of the anaesthesia procedures. The vast majority of complications (94%) occurred in children with MLII and ML intermediate. A predicted difficult airway was found in 100% and 80% of the MLII and ML intermediate patients, respectively. Accordingly, most complications (59%) occurred during the induction of anaesthesia. Altogether, respiratory complications were the most frequent (18%), followed by difficult airway management (14%). The risk for anaesthesia-related complications is alarmingly high in patients with ML, particularly in those with MLII and ML intermediate. Multidisciplinary risk–benefit analysis and thoughtful anaesthesia planning are crucial in these patients.
Collapsing Glomerulonephritis in a Kidney Transplant Recipient after mRNA SARS-CoV-2 Vaccination
Authors: Gómez Preciado Francisco , De Carvalho Ovalles Rosa Alejandra , Codina Sergi , Donadeu Laura , Favà Alexandre , Martinez Valenzuela Laura , Sandoval Diego , Fernández-Cidón Bárbara , Bestard Oriol , Alia-Ramos Pedro , Gomà Montserrat , Melilli Edoardo , Cruzado Josep M
Published: June 2022

With the vaccination against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), studies are describing cases of glomerulonephritis arising after vaccination. We present the first case of a kidney transplant patient who, after mRNA vaccination against SARS-CoV-2, developed nephrotic proteinuria and renal dysfunction, with a biopsy diagnostic of collapsing glomerulonephritis. No other triggers for this glomerulonephritis were identified. Antibodies against the spike protein were negative, but the patient developed a specific T-cell response. The close time between vaccination and the proteinuria suggests a possible determinant role of vaccination. We should be aware of nephropathies appearing after COVID-19 vaccination in kidney transplant recipients also.
The Use of Thromboelastography in Percutaneous Coronary Intervention and Acute Coronary Syndrome in East Asia: A Systematic Literature Review
Authors: Xu Ou , Hartmann Jan , Tang Yi-Da , Dias Joao
Published: June 2022

Dual antiplatelet therapy (DAPT), alongside percutaneous coronary intervention (PCI), is central to the prevention of ischemic events following acute coronary syndrome (ACS). However, response to therapy can vary due to several factors including CYP2C19 gene variation, which shows increased prevalence in East Asian populations. DAPT responsiveness can be assessed using techniques such as light transmission aggregometry (LTA), VerifyNow® and thromboelastography with the PlateletMapping® assay, and there is increasing focus on the utility of platelet function testing to guide individualized treatment. This systematic literature review of one English and three Chinese language databases was conducted to evaluate the evidence for the utility of thromboelastography in ACS/PCI in East Asia. The search identified 42 articles from the English language and 71 articles from the Chinese language databases which fulfilled the pre-determined inclusion criteria, including 38 randomized controlled trials (RCTs). The identified studies explored the use of thromboelastography compared to LTA and VerifyNow in monitoring patient responsiveness to DAPT, as well as predicting ischemic risk, with some studies suggesting that thromboelastography is better able to detect low DAPT response than LTA. Other studies, including one large RCT, described the use of thromboelastography in guiding the escalation of DAPT, with some evidence suggesting that such protocols reduce ischemic events without increasing the risk of bleeding. There was also evidence suggesting that thromboelastography can be used to identify individuals with DAPT hyporesponsiveness genotypes and could potentially guide treatment by adjusting therapy in patients depending on responsiveness.
Influence of the Antithrombotic Therapy in the Healing of Simple Post-Extraction Sockets: A Randomized Clinical Trial
Authors: Sammartino Gilberto , Gasparro Roberta , Spagnuolo Gianrico , Miniello Alessandra , Blasi Andrea , Marenzi Gaetano
Published: June 2022

Background: An adequate blood supply plays a leading role in the healing process of the post-extractive socket; its coagulation leads to fibrin clot formation, which acts as a physical barrier able to prevent postoperative bleeding and microbial infection. The purpose of this study was to evaluate the effectiveness of antiaggregant drugs in healing post-extraction sockets compared to natural wound healing. Methods: This was a single-center prospective clinical trial. Extraction sockets allocated in healthy patients and in patients assuming antiplatelet drugs were considered. Thirty consecutive patients under (treated with/in treatment with) oral antiplatelet treatment were enrolled in the test group. In order to provide a control group, 30 consecutive patients meeting all the exclusion and inclusion criteria were enrolled. The extraction of the mono-radicular tooth was atraumatically performed without gingivoplasty or osteotomy procedures that could influence the healing process. Photographs were obtained before and immediately after surgery and at 3-, 7-, 14- and 28-days follow-up. Results: All patients assumed the prescribed therapy and their post-operative recovery was uneventful without any kind of post-extractive complications. The results of inter-group comparison show that on the third and seventh days of follow-up, the antiplatelet group expressed a statistically significant higher level of healing compared to the control group (p < 0.05), while no statistically significant differences were recorded at 14- and 28-days follow-up. Conclusions: Patients treated with antiplatelet agents seemed to show that this therapy can positively affect the healing process after tooth extractions.
A Metallomic Approach to Assess Associations of Plasma Metal Levels with Amnestic Mild Cognitive Impairment and Alzheimer’s Disease: An Exploratory Study
Authors: Lin Yu-Kai , Liang Chih-Sung , Tsai Chia-Kuang , Tsai Chia-Lin , Lee Jiunn-Tay , Sung Yueh-Feng , Chou Chung-Hsing , Shang Hung-Sheng , Yang Bing-Heng , Lin Guan-Yu , Su Ming-Wei , Yang Fu-Chi
Published: June 2022

Alzheimer’s disease (AD) involves the abnormal activity of transition metals and metal ion dyshomeostasis; however, the potential of trace metal biomarkers in predicting cognitive decline has not been evaluated. This study aimed to assess the potential of 36 trace elements in predicting cognitive decline in patients with amnestic mild cognitive impairment (aMCI) or AD. Participants (9 controls, 23 aMCI due to AD, and 8 AD dementia) underwent comprehensive cognitive tests, including the Mini-Mental State Examination (MMSE) and trace metal analysis. The correlations between the plasma trace element levels and annual MMSE changes during follow-up were analyzed. We found that an increase in disease severity was linked to lower plasma levels of boron (B), bismuth (Bi), thorium (Th), and uranium (U) (adjusted p < 0.05). Higher baseline calcium levels (r = 0.50, p = 0.026) were associated with less annual cognitive decline; those of B (r = −0.70, p = 0.001), zirconium (r = −0.58, p = 0.007), and Th (r = −0.52, p = 0.020) with rapid annual cognitive decline in the aMCI group; and those of manganese (r = −0.91, p = 0.035) with rapid annual cognitive decline in the AD group. Overall, our exploratory study suggests that plasma metal levels have great potential as in vivo biomarkers for aMCI and AD. Larger sample studies are necessary to confirm these results.
Centralization of Major Trauma Influences Liver Availability for Transplantation in Northern Italy: Lesson Learned from COVID-19 Pandemic
Authors: Altomare Michele , Chierici Andrea , Virdis Francesco , Spota Andrea , Cioffi Stefano Piero Bernardo , Bekhor Shir Sara , Del Prete Luca , Reitano Elisa , Sacchi Marco , Ambrogi Federico , Chiara Osvaldo , Cimbanassi Stefania
Published: June 2022

Background: During the COVID-19 pandemic, the centralization of patients allowed trauma and transplants referral centers to continue their routine activity, ensuring the best access to health care. This study aims to analyze how the centralization of trauma is linked with liver allocation in Northern Italy. Methods: Cluster analysis was performed to generate patient phenotype according to trauma-related variables. Comparison between clusters was performed to evaluate differences in damage control strategy procedures (DCS) performed and the 30-day graft dysfunction. Results: During the pandemic period, the centralization of major trauma has deeply impaired the liver procurement and allocation between the transplant centers in the metropolitan area of Milan (Niguarda: 22 liver procurement; other transplant centers: 2 organ procurement). Two clusters were identified the in Niguarda’s series: cluster 1 is represented by 17 (27.4%) trauma donors, of which 13 (76.5%) were treated with DCS procedures, and 4 (23.5%) did not; cluster 2 is represented by 45 trauma donors (72.6%), of which 22 (48.8%) underwent DCS procedures. A significant difference was found in the number of DCS procedures performed between clusters (3.18 ± 2.255 vs. 1.11 ± 1.05, p = 0.0001). Comparative analysis did not significantly differ in the number of transplanted livers (cluster1/cluster2 94.1%/95.6% p = 0.84) and the 30-day graft dysfunction rate (cluster1/cluster2 0.0%/4.8% p = 0.34). Conclusions: The high level of care guaranteed by first-level trauma centers could reduce the loss of organs suitable for donation, maintaining the good outcomes of transplanted ones, even in case of multiple organ injuries. The pandemic period underlined that the centralization of major trauma impairs the liver allocation between transplant centers.
Text-Based vs. Graphical Information Formats in Sepsis Prevention and Early Detection: A Randomized Controlled Trial on Informed Choice
Authors: Debbeler Luka Johanna , Pohrt Anne , Fleischmann-Struzek Carolin , Schwarzkopf Daniel , Born Sebastian , Reinhart Konrad , Wegwarth Odette
Published: June 2022

Sepsis is associated with 11 million global deaths annually. Although serious consequences of sepsis can generally be avoided with prevention and early detection, research has not yet addressed the efficacy of evidence-based health information formats for different risk groups. This study examines whether two evidence-based health information formats—text based and graphical—differ in how well they foster informed choice and risk and health literacy and in how well they support different sepsis risk groups. Based on a systematic literature review, two one-page educative formats on sepsis prevention and early detection were designed—one text based and one graphical. A sample of 500 German participants was randomly shown one of the two formats; they were then assessed on whether they made informed choices and on their risk and health literacy. For both formats, >70% of participants made informed choices for sepsis prevention and >75% for early detection. Compared with the graphical format, the text-based format was associated with higher degrees of informed choice (p = 0.012, OR = 1.818) and risk and health literacy (p = 0.032, OR = 1.710). Both formats can foster informed choices and risk and health literacy on sepsis prevention and early detection, but the text-based format appears to be more effective.
Truncal Acne: An Overview
Authors: Woo Yu Ri , Kim Hei Sung
Published: June 2022

Acne is a relatively common disease of the pilosebaceous units. Many aspects of facial acne have been studied. However, there is limited evidence regarding truncal acne. Truncal acne is also observed in a significant number of patients, but it is often ignored by patients and clinicians. Although the pathogenesis of facial and trunk acne is considered to be similar, the characteristics of the skin on the trunk and face are thought to be different. As truncal acne can cause scars on large areas of the body and adversely affect the quality of life of patients, more attention should be given to patients with truncal acne. Although only a few studies have been published to date, the epidemiology, etiology, severity assessment tool, assessments of the quality of life, and new treatments targeting truncal acne are currently being studied. Therefore, in this review, the latest knowledge on truncal acne will be discussed.