bluuebunny/crossref_metadata_2025 huggingface dataset:
Sound-Evoked Neural Activity in Normal-Hearing Tinnitus: Effects of Frequency and Stimulated Ear Side
Authors: Safazadeh Shahin , Thioux Marc , Renken Remco J. , van Dijk Pim
Published: May 2024

Tinnitus is a common phantom auditory percept believed to be related to plastic changes in the brain due to hearing loss. However, tinnitus can also occur in the absence of any clinical hearing loss. In this case, since there is no hearing loss, the mechanisms that drive plastic changes remain largely enigmatic. Previous studies showed subtle differences in sound-evoked brain activity associated with tinnitus in subjects with tinnitus and otherwise normal hearing, but the results are not consistent across studies. Here, we aimed to investigate these differences using monaural rather than binaural stimuli. Sound-evoked responses were measured using functional magnetic resonance imaging (MRI) in participants with and without tinnitus. All participants had clinically normal audiograms. The stimuli were pure tones with frequencies between 353 and 8000 Hz, presented monaurally. A Principal Component Analysis (PCA) of the response in the auditory cortex revealed no difference in tonotopic organization, which confirmed earlier studies. A GLM analysis showed hyperactivity in the lateral areas of the bilateral auditory cortex. Consistent with the tonotopic map, this hyperactivity mainly occurred in response to low stimulus frequencies. This may be related to hyperacusis. Furthermore, there was an interaction between stimulation side and tinnitus in the parahippocampus. This may reflect an interference between tinnitus and spatial orientation.
Closing the Gap: How Psychological Distance Influences Willingness to Engage in Risky COVID Behavior
Authors: Williams Ceridwen , Rauwolf Paul , Boulter Matt , Parkinson John A.
Published: May 2024

Pandemics, and other risk-related contexts, require dynamic changes in behavior as situations develop. Human behavior is influenced by both explicit (cognitive) and implicit (intuitive) factors. In this study, we used psychological distance as a lens to understand what influences our decision-making with regard to risk in the context of COVID-19. This study was based on the rationale that our relational needs are more concrete to us than the risk of the virus. First, we explored the impact of social–psychological distance on participants’ risk perceptions and behavioral willingness. As hypothesized, we found that close social relationships of agents promoted willingness to engage in risky behavior. In the second phase, we tested an intervention designed to increase the concreteness of information about virus transmission as a mechanism to mitigate the bias of social influence. We found that the concreteness intervention resulted in significantly reduced willingness to engage in risky behavior. As such, communications aimed at changing the behavior of citizens during times of increased risk or danger should consider conceptually concrete messaging when communicating complex risk, and hence may provide a valuable tool in promoting health-related behavior.
A Synergetic Perspective on the Planning of the “City in a Park”: A Case Study of the Sichuan Tianfu New Area, China
Authors: Chen Siyu , Qiu Jian , Yang Mei , Li Jing
Published: May 2024

The “City in a Park” (CIP) is a new concept of urban transformation and development proposed in China in recent years, guiding the construction of healthy and sustainable living environments. This paper analyzes urban planning based on the CIP concept from a synergetic perspective, aiming to explore how the integrated planning of ecological spaces and built environments can promote systematic sustainable development in ecology, economy, and society. This research employs methods including document collection, unstructured interviews, field observations, and participatory observation, focusing on a case study of the Sichuan Tianfu New Area (STNA), a demonstration zone for the CIP. The study finds that the planning of the STNA extends the planning scope of urban ecological spaces beyond the traditional urban construction boundaries, not only preserving the natural resources but also enhancing the city’s overall sustainability through regional ecological services. By designing ecological spaces as green infrastructure that connects urban and rural areas, the primary sector is more readily integrated with the secondary and tertiary sectors, facilitating the integration of the urban and rural infrastructure and industries. The STNA integrates urban and rural administrative divisions, builds a cross-departmental collaborative management platform, and guides public participation in the planning process, ensuring the efficiency and effectiveness of planning implementation and enhancing the equitable sharing of social services. This research provides new insights into comprehensive, cross-disciplinary, and ecology-oriented urban planning. It offers evidence for an understanding of the application pathways and effects of the CIP concept in urban planning practice and provides valuable experience for other cities to promote harmonious coexistence between the city and nature.
Intelligent Analysis of Construction Safety of Large Underground Space Based on Digital Twin
Authors: Yu Caizhao , Liu Zhansheng , Wang Haitao , Shi Guoliang , Song Tianshuai
Published: May 2024

With the rapid development of underground space, the issue of safety in construction processes is becoming more and more significant. The purpose of this paper is to solve the problem of the existing underground space monitoring technology not being centralized and unified. In view of the problems related to large underground spaces in the process of constructing complex structures, with the introduction of Internet of Things technology and digital twins, we put forward an application of an intelligent safety-monitoring digital twin system in the construction of a large underground space structure, and at the same time, explore the Internet and digital integration mechanism of the twin system. The twin system uses BIM technology to establish the corresponding physical construction model, and collects multi-source heterogeneous monitoring data in real time through Internet of Things technology to achieve the exchange of information between the virtual construction model and the physical construction model. The twin system uses the multi-source heterogeneous data for real-time security analysis, and obtains the security status of the structure and feeds it back to the application service layer. The effectiveness and practicability of the twin system in large underground spaces are verified by an example project. Aiming at the safe performance of the orthogonal arch, the mapping relationship of various parameter indexes is obtained, and reasonable control measures are given. This study provides a new solution for improving the safety of construction projects and risk prevention and control, and has important theoretical and practical value for the safety management of underground space construction processes.
A Safety Risk Analysis of a Steel-Structure Building Using an Improved Controlled Interval and Memory Model
Authors: Chen Jinhua , Zhou Lihong , Liu Yipeng , Wang Yajie
Published: May 2024

Scholars and engineers have increasingly focused on the safety of steel-structure buildings. An accurate analysis can substantially reduce the collapse probability of these buildings. This paper proposes a novel risk analysis model to assess the safety of steel-structure buildings. The vector entropy method and weight clustering were used to improve the controlled interval and memory (CIM) model. The proposed model has the advantages of a straightforward modeling approach, strong adaptability, and logical relationships. The new strategy improves the reliability and stability of the CIM model results when the maximum membership principle is not applicable. The Jiangxi Exhibition Center in China, which has a steel truss roof, is used as a case study. The results indicate a high safety risk of the project and the need for maintenance and repair. The improved CIM model has higher stability and adaptability for analyzing the safety risks of steel structure than the standard CIM model.
Irradiation Characteristics of Non-Impregnated Micropore Graphite for Use in Molten Salt Nuclear Reactors
Authors: Lian Pengfei , Li Pengda , Huang Hefei , Song Jinliang , Tang Zhongfeng , Liu Zhanjun
Published: May 2024

Non-impregnated small-pore graphite (NSPG), which has a compact microstructure and is used in molten salt reactors (MSRs), was prepared by a novel process. The pore diameter of NSPG was reduced to ~800 nm. The irradiation evaluation of NSPG was carried out by 7 MeV Xe26+ ion irradiation. The microstructural changes of NSPG were investigated with IG-110 as a comparison. The graphitization degree of NSPG was higher than that of IG-110, though it was not subjected to an impregnation process. Under low-dose ion irradiation (<2.5 dpa), the microscopic morphology of the NSPG changes in a small magnitude, and the lamellar structure of graphite remains within the scale of more than a dozen nanometers, which exhibits a better resistance to irradiation. With the increase in irradiation dose, the accumulation of defects leads the graphite toward amorphization, which shows consistency with IG-110. This study provides an efficient and low-cost method for the preparation of graphite for MSR, and investigates the damage behavior of graphite, which is of great significance in accumulating data for the development of MSR nuclear graphite and the optimal design of graphite materials.
Checkpoint Inhibitors in Dogs: Are We There Yet?
Authors: Giuliano Antonio , Pimentel Pedro A. B. , Horta Rodrigo S.
Published: May 2024

Immune checkpoint inhibitors (ICI) have revolutionised cancer treatment in people. Immune checkpoints are important regulators of the body’s reaction to immunological stimuli. The most studied immune checkpoint molecules are programmed death (PD-1) with its ligand (PD-L1) and cytotoxic T-lymphocyte-associated protein 4 (CTLA-4) with its ligands CD80 (B7-1) and CD86 (B7-2). Certain tumours can evade immunosurveillance by activating these immunological checkpoint targets. These proteins are often upregulated in cancer cells and tumour-infiltrating lymphocytes, allowing cancer cells to evade immune surveillance and promote tumour growth. By blocking inhibitory checkpoints, ICI can help restore the immune system to effectively fight cancer. Several studies have investigated the expression of these and other immune checkpoints in human cancers and have shown their potential as therapeutic targets. In recent years, there has been growing interest in studying the expression of immune checkpoints in dogs with cancer, and a few small clinical trials with ICI have already been performed on these species. Emerging studies in veterinary oncology are centred around developing and validating canine-targeted antibodies. Among ICIs, anti-PD-1 and anti-PD-L1 treatments stand out as the most promising, mirroring the success in human medicine over the past decade. Nevertheless, the efficacy of caninized antibodies remains suboptimal, especially for canine oral melanoma. To enhance the utilisation of ICIs, the identification of predictive biomarkers for treatment response and the thorough screening of individual tumours are crucial. Such endeavours hold promise for advancing personalised medicine within veterinary practice, thereby improving treatment outcomes. This article aims to review the current research literature about the expression of immune checkpoints in canine cancer and the current results of ICI treatment in dogs.
Coupling Kinesin Spindle Protein and Aurora B Inhibition with Apoptosis Induction Enhances Oral Cancer Cell Killing
Authors: Silva João P. N. , Pinto Bárbara , Monteiro Luís , Silva Patrícia M. A. , Bousbaa Hassan
Published: May 2024

Many proteins regulating mitosis have emerged as targets for cancer therapy, including the kinesin spindle protein (KSP) and Aurora kinase B (AurB). KSP is crucial for proper spindle pole separation during mitosis, while AurB plays roles in chromosome segregation and cytokinesis. Agents targeting KSP and AurB selectively affect dividing cells and have shown significant activity in vitro. However, these drugs, despite advancing to clinical trials, often yield unsatisfactory outcomes as monotherapy, likely due to variable responses driven by cyclin B degradation and apoptosis signal accumulation networks. Accumulated data suggest that combining emerging antimitotics with various cytostatic drugs can enhance tumor-killing effects compared to monotherapy. Here, we investigated the impact of inhibiting anti-apoptotic signals with the BH3-mimetic Navitoclax in oral cancer cells treated with the selective KSP inhibitor, Ispinesib, or AurB inhibitor, Barasertib, aiming to potentiate cell death. The combination of BH3-mimetics with both KSP and AurB inhibitors synergistically induced substantial cell death, primarily through apoptosis. A mechanistic analysis underlying this synergistic activity, undertaken by live-cell imaging, is presented. Our data underscore the importance of combining BH3-mimetics with antimitotics in clinical trials to maximize their effectiveness.
Management and Clinical Outcomes of Breast Cancer in Women Diagnosed with Hereditary Cancer Syndromes in a Clinic-Based Sample from Colombia
Authors: Sanabria-Salas María Carolina , Pedroza-Duran Ana , Díaz-Casas Sandra E. , Nuñez Lemus Marcela , Grillo-Ardila Carlos F. , Briceño-Morales Ximena , García-Mora Mauricio , Ángel-Aristizábal Javier , Mariño Lozano Iván Fernando , Suarez Rodríguez Raúl Alexis , Guzmán Abisaab Luis Hernán
Published: May 2024

This study aimed to investigate prognosis and survival differences in 82 breast cancer patients with germline pathogenic/likely pathogenic variants (PVs) treated and followed at the Breast Unit of the Instituto Nacional de Cancerología, Colombia (INC-C) between 2018 and 2021. Median age at diagnosis was 46 years, with 62.2% presenting locally advanced tumors, 47.6% histological grade 3, and 35.4% with triple-negative breast cancer (TNBC) subtype. Most carriers, 74.4% (61/82), had PVs in known breast cancer susceptibility genes (i.e., “associated gene carriers” group, considered inherited breast cancer cases): BRCA2 (30), BRCA1 (14), BARD1 (4), RAD51D (3), TP53 (2), PALB2 (2), ATM (2), CHEK2 (1), RAD51C (1), NF1 (1), and PTEN (1). BRCA1-2 represented 53.7%, and homologous recombination DNA damage repair (HR-DDR) genes associated with breast cancer risk accounted for 15.9%. Patients with PVs in non-breast-cancer risk genes were combined in a different category (21/82; 25.6%) (i.e., “non-associated gene carriers” group, considered other breast cancer cases). Median follow-up was 38.1 months, and 24% experienced recurrence, with 90% being distant. The 5-year Disease-Free Survival (DFS) for inherited breast cancer cases was 66.5%, and for other breast cancer cases it was 88.2%. In particular, for carriers of PVs in the BRCA2 gene, it was 37.6%. The 5-year Overall Survival (OS) rates ranged from 68.8% for those with PVs in BRCA2 to 100% for those with PVs in other HR-DDR genes. Further studies are crucial for understanding tumor behavior and therapy response differences among Colombian breast cancer patients with germline PVs.
Predicting Risk of Post-Operative Morbidity and Mortality following Gynaecological Oncology Surgery (PROMEGO): A Global Gynaecological Oncology Surgical Outcomes Collaborative Led Study
Authors: Gaba Faiza , Mohammadi Sara Mahvash , Krivonosov Mikhail I. , Blyuss Oleg ,   on behalf of the GO SOAR Collaborators
Published: May 2024

The medical complexity of surgical patients is increasing, and surgical risk calculators are crucial in providing high-value, patient-centered surgical care. However, pre-existing models are not validated to accurately predict risk for major gynecological oncology surgeries, and many are not generalizable to low- and middle-income country settings (LMICs). The international GO SOAR database dataset was used to develop a novel predictive surgical risk calculator for post-operative morbidity and mortality following gynecological surgery. Fifteen candidate features readily available pre-operatively across both high-income countries (HICs) and LMICs were selected. Predictive modeling analyses using machine learning methods and linear regression were performed. The area-under-the-receiver-operating characteristic curve (AUROC) was calculated to assess overall discriminatory performance. Neural networks (AUROC 0.94) significantly outperformed other models (p < 0.001) for evaluating the accuracy of prediction across three groups, i.e., minor morbidity (Clavien–Dindo I-II), major morbidity (Clavien–Dindo III-V), and no morbidity. Logistic-regression modeling outperformed the clinically established SORT model in predicting mortality (AUROC 0.66 versus 0.61, p < 0.001). The GO SOAR surgical risk prediction model is the first that is validated for use in patients undergoing gynecological surgery. Accurate surgical risk predictions are vital within the context of major cytoreduction surgery, where surgery and its associated complications can diminish quality-of-life and affect long-term cancer survival. A model that requires readily available pre-operative data, irrespective of resource setting, is crucial to reducing global surgical disparities.
Integrating Spatial and Morphological Characteristics into Melanoma Prognosis: A Computational Approach
Authors: Bian Chang , Ashton Garry , Grant Megan , Rodriguez Valeria Pavet , Martin Isabel Peset , Tsakiroglou Anna Maria , Cook Martin , Fergie Martin
Published: May 2024

In this study, the prognostic value of cellular morphology and spatial configurations in melanoma has been examined, aiming to complement traditional prognostic indicators like mitotic activity and tumor thickness. Through a computational pipeline using machine learning and deep learning methods, we quantified nuclei sizes within different spatial regions and analyzed their prognostic significance using univariate and multivariate Cox models. Nuclei sizes in the invasive band demonstrated a significant hazard ratio (HR) of 1.1 (95% CI: 1.03, 1.18). Similarly, the nuclei sizes of tumor cells and Ki67 S100 co-positive cells in the invasive band achieved HRs of 1.07 (95% CI: 1.02, 1.13) and 1.09 (95% CI: 1.04, 1.16), respectively. Our findings reveal that nuclei sizes, particularly in the invasive band, are potentially prognostic factors. Correlation analyses further demonstrated a meaningful relationship between cellular morphology and tumor progression, notably showing that nuclei size within the invasive band correlates substantially with tumor thickness. These results suggest the potential of integrating spatial and morphological analyses into melanoma prognostication.
Landscape of Endometrial Cancer: Molecular Mechanisms, Biomarkers, and Target Therapy
Authors: Bostan Ioana-Stefania , Mihaila Mirela , Roman Viviana , Radu Nicoleta , Neagu Monica Teodora , Bostan Marinela , Mehedintu Claudia
Published: May 2024

Endometrial cancer is one the most prevalent gynecological cancers and, unfortunately, has a poor prognosis due to low response rates to traditional treatments. However, the progress in molecular biology and understanding the genetic mechanisms involved in tumor processes offers valuable information that has led to the current classification that describes four molecular subtypes of endometrial cancer. This review focuses on the molecular mechanisms involved in the pathogenesis of endometrial cancers, such as genetic mutations, defects in the DNA mismatch repair pathway, epigenetic changes, or dysregulation in angiogenic or hormonal signaling pathways. The preclinical genomic and molecular investigations presented allowed for the identification of some molecules that could be used as biomarkers to diagnose, predict, and monitor the progression of endometrial cancer. Besides the therapies known in clinical practice, targeted therapy is described as a new cancer treatment that involves identifying specific molecular targets in tumor cells. By selectively inhibiting these targets, key signaling pathways involved in cancer progression can be disrupted while normal cells are protected. The connection between molecular biomarkers and targeted therapy is vital in the fight against cancer. Ongoing research and clinical trials are exploring the use of standard therapy agents in combination with other treatment strategies like immunotherapy and anti-angiogenesis therapy to improve outcomes and personalize treatment for patients with endometrial cancer. This approach has the potential to transform the management of cancer patients. In conclusion, enhancing molecular tools is essential for stratifying the risk and guiding surgery, adjuvant therapy, and cancer treatment for women with endometrial cancer. In addition, the information from this review may have an essential value in the personalized therapy approach for endometrial cancer to improve the patient’s life.
Exosomal Serum Biomarkers as Predictors for Laryngeal Carcinoma
Authors: Schuster Johannes , Wendler Olaf , Pesold Vanessa-Vivien , Koch Michael , Sievert Matti , Balk Matthias , Rupp Robin , Mueller Sarina Katrin
Published: May 2024

Background: The lack of screening methods for LSCC is a critical issue, as treatment options and the treatment outcome greatly depend on the stage of LSCC at initial diagnosis. Therefore, the objective of this study was to identify potential exosomal serum biomarkers that can diagnose LSCC and distinguish between early- and late-stage disease. Methods: A multiplexed proteomic array was used to identify differentially expressed proteins in exosomes isolated from the serum samples of LSCC patients compared to the control group (septorhinoplasty, SRP). The most promising proteins for diagnosis and differentiation were calculated using biostatistical methods and were validated by immunohistochemistry (IHC), Western blots (WB), and ELISA. Results: Exosomal insulin-like growth factor binding protein 7 (IGFBP7) and Annexin A1 (ANXA1) were the most promising exosomal biomarkers for distinguishing between control and LSCC patients and also between different stages of LSCC (fold change up to 15.9, p < 0.001 for all). Conclusion: The identified proteins represent potentially novel non-invasive biomarkers. However, these results need to be validated in larger cohorts with a long-term follow-up. Exosomal biomarkers show a superior signal-to-noise ratio compared to whole serum and may therefore be an important tool for non-invasive biomarker profiling for laryngeal carcinoma in the future.
Prognostic Impact of TERT Promoter Mutations in Adult-Type Diffuse Gliomas Based on WHO2021 Criteria
Authors: Lee Yujin , Park Chul-Kee , Park Sung-Hye
Published: May 2024

Mutation in the telomerase reverse transcriptase promoter (TERTp )is commonly observed in various malignancies, such as central nervous system (CNS) tumors, malignant melanoma, bladder cancer, and thyroid carcinoma. These mutations are recognized as significant poor prognostic factors for these tumors. In this investigation, a total of 528 cases of adult-type diffuse gliomas diagnosed at a single institution were reclassified according to the 2021 WHO classifications of CNS tumors, 5th edition (WHO2021). The study analyzed clinicopathological and genetic features, including TERTp mutations in each tumor. The impact of known prognostic factors on patient outcomes was analyzed through Kaplan–Meier survival and Cox regression analysis. TERTp mutations were predominantly identified in 94.1% of oligodendrogliomas (ODG), followed by 66.3% in glioblastoma, IDH-wildtype (GBM-IDHwt), and 9.2% of astrocytomas, IDH-mutant (A-IDHm). When considering A-IDHm and GBM as astrocytic tumors (Group 1) and ODGs (Group 2), TERTp mutations emerged as a significant adverse prognostic factor (p = 0.013) in Group 1. However, within each GBM-IDHwt and A-IDHm, the presence of TERTp mutations did not significantly impact patient prognosis (p = 0.215 and 0.268, respectively). Due to the high frequency of TERTp mutations in Group 2 (ODG) and their consistent prolonged survival, a statistical analysis to evaluate their impact on overall survival was deemed impractical. When considering MGMTp status, the combined TERTp-mutated and MGMTp-unmethylated group exhibited the worst prognosis in OS (p = 0.018) and PFS (p = 0.034) of GBM. This study confirmed that the classification of tumors according to the WHO2021 criteria effectively reflected prognosis. Both uni- and multivariate analyses in GBM, age, MGMTp methylation, and CDKN2A/B homozygous deletion were statistically significant prognostic factors while in univariate analysis in A-IDHm, grade 4, the Ki-67 index and MYCN amplifications were statistically significant prognostic factors. This study suggests that it is important to classify and manage tumors based on their genetic characteristics in adult-type diffuse gliomas.
N-Benzylated 5-Hydroxybenzothiophene-2-carboxamides as Multi-Targeted Clk/Dyrk Inhibitors and Potential Anticancer Agents
Authors: Mostafa Noha , Chen Po-Jen , Darwish Sarah S. , Su Yu-Chieh , Shiao Ming-Hua , Piazza Gary A. , Abadi Ashraf H. , Engel Matthias , Abdel-Halim Mohammad
Published: May 2024

Numerous studies have reported that Dyrk1A, Dyrk1B, and Clk1 are overexpressed in multiple cancers, suggesting a role in malignant disease. Here, we introduce a novel class of group-selective kinase inhibitors targeting Dyrk1A, Dyrk1B, and Clk1. This was achieved by modifying our earlier selective Clk1 inhibitors, which were based on the 5-methoxybenzothiophene-2-carboxamide scaffold. By incorporating a 5-hydroxy group, we increased the potential for additional hydrogen bond interactions that broadened the inhibitory effect to include Dyrk1A and Dyrk1B kinases. Within this series, compounds 12 and 17 emerged as the most potent multi-kinase inhibitors against Dyrk1A, Dyrk1B, and Clk1. Furthermore, when assessed against the most closely related kinases also implicated in cancer, the frontrunner compounds revealed additional inhibitory activity against Haspin and Clk2. Compounds 12 and 17 displayed high potency across various cancer cell lines with minimal effect on non-tumor cells. By examining the effect of these inhibitors on cell cycle distribution, compound 17 retained cells in the G2/M phase and induced apoptosis. Compounds 12 and 17 could also increase levels of cleaved caspase-3 and Bax, while decreasing the expression of the antiapoptotic Bcl-2 protein. These findings support the further study and development of these compounds as novel anticancer therapeutics.
The Uptake, Transfer, and Detoxification of Cadmium in Plants and Its Exogenous Effects
Authors: Zhang Xintong , Yang Man , Yang Hui , Pian Ruiqi , Wang Jinxiang , Wu Ai-Min
Published: May 2024

Cadmium (Cd) exerts a toxic influence on numerous crucial growth and development processes in plants, notably affecting seed germination rate, transpiration rate, chlorophyll content, and biomass. While considerable advances in Cd uptake and detoxification of plants have been made, the mechanisms by which plants adapt to and tolerate Cd toxicity remain elusive. This review focuses on the relationship between Cd and plants and the prospects for phytoremediation of Cd pollution. We highlight the following issues: (1) the present state of Cd pollution and its associated hazards, encompassing the sources and distribution of Cd and the risks posed to human health; (2) the mechanisms underlying the uptake and transport of Cd, including the physiological processes associated with the uptake, translocation, and detoxification of Cd, as well as the pertinent gene families implicated in these processes; (3) the detrimental effects of Cd on plants and the mechanisms of detoxification, such as the activation of resistance genes, root chelation, vacuolar compartmentalization, the activation of antioxidant systems and the generation of non-enzymatic antioxidants; (4) the practical application of phytoremediation and the impact of incorporating exogenous substances on the Cd tolerance of plants.
Distinct Effects of Respiratory Viral Infection Models on miR-149-5p, IL-6 and p63 Expression in BEAS-2B and A549 Epithelial Cells
Authors: Shahdab Nafeesa , Ward Christopher , Hansbro Philip M. , Cummings Stephen , Young John S. , Moheimani Fatemeh
Published: May 2024

Respiratory viruses cause airway inflammation, resulting in epithelial injury and repair. miRNAs, including miR-149-5p, regulate different pathological conditions. We aimed to determine how miR-149-5p functions in regulating pro-inflammatory IL-6 and p63, key regulators of airway epithelial wound repair, in response to viral proteins in bronchial (BEAS-2B) and alveolar (A549) epithelial cells. BEAS-2B or A549 cells were incubated with poly (I:C, 0.5 µg/mL) for 48 h or SARS-CoV-2 spike protein-1 or 2 subunit (S1 or S2, 1 μg/mL) for 24 h. miR-149-5p was suppressed in BEAS-2B challenged with poly (I:C), correlating with IL-6 and p63 upregulation. miR-149-5p was down-regulated in A549 stimulated with poly (I:C); IL-6 expression increased, but p63 protein levels were undetectable. miR-149-5p remained unchanged in cells exposed to S1 or S2, while S1 transfection increased IL-6 expression in BEAS-2B cells. Ectopic over-expression of miR-149-5p in BEAS-2B cells suppressed IL-6 and p63 mRNA levels and inhibited poly (I:C)-induced IL-6 and p63 mRNA expressions. miR-149-5p directly suppressed IL-6 mRNA in BEAS-2B cells. Hence, BEAS-2B cells respond differently to poly (I:C), S1 or S2 compared to A549 cells. Thus, miR-149-5p dysregulation may be involved in poly (I:C)-stimulated but not S1- or S2-stimulated increased IL-6 production and p63 expression in BEAS-2B cells.
Knowledge and Awareness of Adults towards Nocturnal Enuresis in Children among the Medina Population
Authors: Albadrani Muayad Saud , Alluqmani Tariq Abdulazez , Alsehli Osama Hamed , Alsaedi Meshal Saleem , Alrehaili Hassan Saleh , Aljabri Ahmed Abdullah , Tobaiqi Muhammad Abubaker
Published: May 2024

Background: Nocturnal Enuresis (NE) is a common problem among children that is stressful for both the child and adults. There is a lack of adults’ knowledge and awareness of the NE condition. Objective: This study aimed to evaluate the adults’ knowledge and awareness of NE in Medina City, Saudi Arabia. Method: A cross-sectional observational study was conducted among adults in Medina through September and October 2023, using a questionnaire composed of socio-demographic characteristics and adults’ knowledge and awareness of NE. A statistical analysis was performed using SPSS software. Results: The study was conducted among 553 adults in Medina, with a mean (standard deviation [SD]) age of 37.69 (10.775). Most participants (94.8%) were Saudi nationals, of which 84.4% were females, 76.3% were married, and 97.1% were urban residents with university degrees (80.3%). The mean (SD) total score of knowledge and awareness was 4.69 (1.783) out of 9 and 6.49 (2.167) out of 12, respectively. Being female (p < 0.001), with a university degree (p = 0.002), and knowing about enuresis in children (p = 0.011) are significant factors affecting adults’ knowledge with higher scores than others. Conclusions: An inadequate knowledge and awareness level of NE in children was revealed among adults living in Medina City, Saudi Arabia. These results emphasize the need for targeted educational campaigns to enhance adults’ knowledge and awareness of enuresis.
Comparison of Clinical, Pathological, and Procedural Characteristics of Adult and Pediatric Acute Appendicitis before and during the COVID-19 Pandemic
Authors: Augustin Goran , Žedelj Jurica , Jeričević Karmen , Knez Nora
Published: May 2024

Background: This study aims to analyze the impact of the COVID-19 pandemic on the clinical, pathological, and surgical characteristics of acute appendicitis (AA) at the University Hospital Centre (UHC) Zagreb. Methods: This retrospective study analyzed demographic, clinical, and surgical data from consecutive AA patients. Data were collected from an electronic database for two periods: 1 January to 31 December 2019 (pre-COVID-19), and 11 March 2020, to 11 March 2021 (COVID-19 pandemic). Results: During the two study periods, 855 appendectomies were performed, 427 in the pre-pandemic, and 428 during the pandemic. Demographic data were comparable between groups. There was statistically no significant difference in the type of appendectomy (p = 0.33) and the median hospital length of stay (3; (2–5) days, p = 0.08). There was an increase in the conversion rate during the pandemic period (4.2% vs. 7.7%, p = 0.03). The negative appendectomy rate and the incidence of perforated AA did not differ significantly (p = 0.34 for both). Conclusions: We did not observe a significant increase in the rate of AA complications during the COVID-19 pandemic at the UHC Zagreb. This may be attributed to two factors: (1) AA was diagnosed and treated as an emergency, which remained available during the pandemic, and (2) diagnostic and therapeutic protocols remained unaltered. We recommend a laparoscopic approach even during the COVID-19 pandemic.
Single Center Experience of Eus-Guided Cystogastrostomy and Lumen-Apposing Metal Stent (LAMS) Positioning in Children with Pancreatic Fluid Collections: A Case Series
Authors: Pasqualetto Annalisa Fiammetta , Boroni Giovanni , Moneghini Dario , Parolini Filippo , Orizio Paolo , Bulotta Anna Lavinia , Missale Guido , Alberti Daniele
Published: May 2024

Pancreatic fluid collections (PFCs) are a well-known complication of pancreatitis. PFCs operative management includes percutaneous, endoscopic or surgical drainage. Even if in adult patients, endoscopic drainage is a well-established treatment, few data are available in pediatric setting. We report our single-center experience of EUS-guided cystogastrostomy and lumen-apposing metal stent (LAMS) positioning in children with PFCs; this, at the best of our knowledge, has never been reported before. All consecutive children with PFCs between April 2020 and November 2022 were enrolled in this retrospective study. PFCs were preoperatively evaluated with MRI or CT scan. All the procedures were performed under general anesthesia. A LAMS Hot-AxiosTM 10 × 15 mm was placed in all patients. We evaluated technical feasibility and clinical outcomes, including complications and recurrence rates. Follow-up included clinical observation, blood tests and US. EUS-guided cystogastrostomy was performed in 3 children (2 males; median age 13.2 years). Median maximum cyst diameter was 14.7 cm (range 10–22 cm). Technical and clinical success rates were 100%. No intra or post-operative complications occurred. Our experience suggests that this can be considered a safe and feasible treatment of PCFs even in the pediatric population, as long as the procedure is performed by an expert Endoscopist in a pediatric tertiary-level Center.
Variations in Perceptions of Well-Being within Families of Youths with Intellectual Disabilities in Saudi Arabia
Authors: Alnahdi Ghaleb H.
Published: May 2024

This study investigates the family well-being among Saudi Arabian families with youth who have an intellectual disability. A sample of 148 family members, including parents and other relatives, was surveyed on emotional well-being, family interactions, and parenting. This study aimed to explore the unique challenges and dynamics within these families, providing insights into how an intellectual disability in a youth affects the family unit. The research highlights a gap in understanding the specific impacts of intellectual disability on family life in the Saudi context. Key findings include variations in family quality of life perceptions among different family members, with fathers showing distinct levels of satisfaction. This study contributes to the development of culturally sensitive support strategies and policies, emphasizing the need for targeted interventions to enhance the well-being of these families in Saudi Arabia.
The Hemodynamic Changes Induced by Lung Recruitment Maneuver to Predict Fluid Responsiveness in Children during One Lung Ventilation—A Prospective Observational Study
Authors: Liu Ting , He Pan , Hu Jie , Wang Yanting , Shen Yang , Peng Zhezhe , Sun Ying
Published: May 2024

Background: The prediction of fluid responsiveness in critical patients helps clinicians in decision making to avoid either under- or overloading of fluid. This study was designed to determine whether lung recruitment maneuver (LRM) would have an effect on the predictability of fluid responsiveness by the changes of hemodynamic parameters in pediatric patients who were receiving lung-protective ventilation and one-lung ventilation (OLV). Methods: A total of 34 children, aged 1–6 years old, scheduled for heart surgeries via right thoracotomy were enrolled. Patients were anesthetized and OLV with lung-protection ventilation settings was established, and then, positioned on left lateral decubitus. LRM and volume expansion (VE) were performed in sequence. Heart rate (HR), systolic arterial pressure (SAP), mean arterial pressure (MAP) diastolic arterial pressure (DAP), stroke volume (SV), stroke volume variation (SVV), and pulse pressure variation (PPV) were recorded via an A-line based monitor system at the following time points: before and after LRM (T1 and T2) and before and after VE (T3 and T4). An increase in stroke volume (SV) or mean arterial pressure (MAP) of ≥10% following fluid loading identified fluid responders. The predictability of fluid responsiveness by the changes of SV (ΔSVLRM) and MAP (ΔMAPLRM) after LRM and VE were statistically evaluated by receiver operating characteristic curves [area under the curves (AUC)]. Results: SVs in all patients were significantly decreased after LRM (p < 0.01) and then, increased and returned to baseline after VE (p < 0.01). In total, 16 out of 34 patients who were fluid responders had significantly lower SV after LRM compared to that in fluid non-responders. The area under the receiver operating characteristic curves for ΔSVLRM was 0.828 (95% confidence interval [CI], 0.660 to 0.935; p < 0.001) and it indicated that ΔSVLRM was able to predict the fluid responsiveness of pediatric patients. MAPs in all patients were also decreased significantly after LRM, and 12 of them fell into the category of fluid responders after VE. Statistically, ΔMAPLRM did not predict fluid responsiveness when LRM was considered as an influential factor (p = 0.07). Conclusions: ΔSVLRM, but not ΔMAPLRM, showed great reliability in the prediction of the fluid responsiveness following VE in children during one-lung ventilation with lung-protective settings. Trial registration: ChiCTR2300070690.
Plant-Derived Compounds: A Promising Tool for Dental Caries Prevention
Authors: Tzimas Konstantinos , Antoniadou Maria , Varzakas Theodoros , Voidarou Chrysoula (Chrysa)
Published: May 2024

There is a growing shift from the use of conventional pharmaceutical oral care products to the use of herbal extracts and traditional remedies in dental caries prevention. This is attributed to the potential environmental and health implications of contemporary oral products. This comprehensive review aims at the analysis of plant-derived compounds as preventive modalities in dental caries research. It focuses on data collected from 2019 until recently, trying to emphasize current trends in this topic. The research findings suggest that several plant-derived compounds, either aqueous or ethanolic, exhibit notable antibacterial effects against Streptococcus mutans and other bacteria related to dental caries, with some extracts demonstrating an efficacy comparable to that of chlorhexidine. Furthermore, in vivo studies using plant-derived compounds incorporated in food derivatives, such as lollipops, have shown promising results by significantly reducing Streptococcus mutans in high-risk caries children. In vitro studies on plant-derived compounds have revealed bactericidal and bacteriostatic activity against S. mutans, suggesting their potential use as dental caries preventive agents. Medicinal plants, plant-derived phytochemicals, essential oils, and other food compounds have exhibited promising antimicrobial activity against oral pathogens, either by their anti-adhesion activity, the inhibition of extracellular microbial enzymes, or their direct action on microbial species and acid production. However, further research is needed to assess their antimicrobial activity and to evaluate the cytotoxicity and safety profiles of these plant-derived compounds before their widespread clinical use can be recommended.
Modeling and Analysis of Dekker-Based Mutual Exclusion Algorithms
Authors: Nigro Libero , Cicirelli Franco , Pupo Francesco
Published: May 2024

Mutual exclusion is a fundamental problem in concurrent/parallel/distributed systems. The first pure-software solution to this problem for two processes, which is not based on hardware instructions like test-and-set, was proposed in 1965 by Th.J. Dekker and communicated by E.W. Dijkstra. The correctness of this algorithm has generally been studied under the strong memory model, where the read and write operations on a memory cell are atomic or indivisible. In recent years, some variants of the algorithm have been proposed to make it RW-safe when using the weak memory model, which makes it possible, e.g., for multiple read operations to occur simultaneously to a write operation on the same variable, with the read operations returning (flickering) a non-deterministic value. This paper proposes a novel approach to formal modeling and reasoning on a mutual exclusion algorithm using Timed Automata and the Uppaal tool, and it applies this approach through exhaustive model checking to conduct a thorough analysis of the Dekker’s algorithm and some of its variants proposed in the literature. This paper aims to demonstrate that model checking, although necessarily limited in the scalability of the number N of the processes due to the state explosions problem, is effective yet powerful for reasoning on concurrency and process action interleaving, and it can provide significant results about the correctness and robustness of the basic version and variants of the Dekker’s algorithm under both the strong and weak memory models. In addition, the properties of these algorithms are also carefully studied in the context of a tournament-based binary tree for N≥2 processes.
Multicomponent Nanoparticles Decorating a Lignin-Derived Biochar Composite for 2-Nitrophenol Sensing
Authors: Bao Tianshuang , Wang Qi , Jiang Yuhang , Zhao Xiangchuan , Cao Yue , Cao Jun , Li Qiaoling , Si Weimeng
Published: May 2024

Lignin, which contains aromatic phenols, is the second most abundant renewable biomass material in the world. It is the main byproduct of the paper industry and is characterized by abundant sources, renewability, and low cost. The present study focused on the extraction of lignin from poplar wood through a straightforward papermaking approach, thereafter utilizing the resultant black liquor containing lignin for synthesizing lignin-based phenolic resins. During the polymerization process, cobalt (Co) and nickel (Ni) species were introduced and, subsequently, a CoNi/biochar catalyst was obtained through pyrolysis in a nitrogen atmosphere. The prepared catalyst possessed rough spherical structures. The incorporation of Co and Ni enhanced charge redistribution, thereby imparting the catalyst with strong electron acceptance capabilities. The prepared lignin-based phenolic-resin-derived carbon was used for the electrochemical sensing of 2-nitrophenol. The limit of detection (LOD) for 2-nitrophenol was calculated to be 0.0132 µM, with good repeatability, stability, and selectivity.
Preparation, Characterization, and High-Temperature Anti-Seizing Application of CrAlN-Based Gradient Multilayer Coatings
Authors: Tang Chunmei , Li Dingjun , Yuan Xiaohu , Wang Wei , Guo Xianping , Fang Yu , Gong Xiufang , Li Quande
Published: May 2024

High-temperature fasteners are metal parts of gas turbines and steam turbines, which work at high temperatures and under stress for a long time. However, the frequent seizures of fasteners bring great trouble to the normal maintenance of power plants. In this paper, three kinds of dense and controllable CrAlN-based gradient multilayer coatings were prepared on the samples and screws by arc ion plating (AIP) technology. The morphology, composition, structure, nano hardness, adhesion, residual stress, and room temperature tribological performance of the coating were investigated. To evaluate the high-temperature, anti-seizing performance, coated screws were heated to 700 °C for 140 h with a torque of 20 N·m. The results indicate that the CrN/CrAlN multilayer coating shows better comprehensive properties. The characterization of coated screws proved that the coating structures obtained on the screws were similar to the flat samples. However, the as-prepared coating on the screws showed different thickness variation rules, which was related to the clamping method, deposition distance, and screw shape. After a simulation service, the thread of the screw remained intact with similar structure and thinner thickness. The above results indicate that the high-temperature seize prevention of fasteners can be successfully achieved by preparing a CrAlN-based multilayer coating, which is suitable for fasteners with service temperatures below 700 °C.
Effects of Nordic Walking on Functional Capacity of Women Cohort with Breast Cancer
Authors: Vuckovic Mirela , Bazdaric Ksenija , Salibasic Amira , Loncar Vlasta , Slivsek Goran , Segulja Silvije , Sorta-Bilajac Turina Iva
Published: May 2024

Background: Breast cancer is one of the most common tumours and one of the leading causes of death among women in all parts of the world. The aim of this study is to investigate the influence of Nordic walking on the functional capacity of women who have undergone surgery for breast cancer. Methods: The study involved a cohort of women who exercised through Nordic walking for 10 weeks (from March to May 2022). The subjects trained with a licenced instructor (INWA method), with two training sessions per week of 70–80 min each. We collected information on pain, arm mobility, hand grip strength, shoulder joint range of motion bilaterally, circumference of both arms, body mass index, physical activity, aerobic capacity, and endurance. Results: There were 14 women, median age 63. BMI was significantly lower (28.9/28.1; p = 0.013) after training and a difference in shoulder range of motion was better (anteflexion right (142.5/170, p = 0.002), retroflexion right (40/60, p = 0.005), abduction right (135/180, p = 0.005), abduction left (135/180, p = 0.005)). There was no difference in right hand strength, while there was a significant difference in left hand strength (19/20, p = 0.007). A correlation was found between BMI and the six-minute walk test (r = −0.70; p = 0.005). Conclusions: Considering the multidimensionality of the disease itself and the results of this study, we believe that Nordic walking is a favourable and good choice of physical activity for breast cancer patients.