bluuebunny/crossref_metadata_2025 huggingface dataset:
Pulverization in Cyber-Physical Systems: Engineering the Self-Organizing Logic Separated from Deployment
Authors: Casadei Roberto , Pianini Danilo , Placuzzi Andrea , Viroli Mirko , Weyns Danny
Published: November 2020

Emerging cyber-physical systems, such as robot swarms, crowds of augmented people, and smart cities, require well-crafted self-organizing behavior to properly deal with dynamic environments and pervasive disturbances. However, the infrastructures providing networking and computing services to support these systems are becoming increasingly complex, layered and heterogeneous—consider the case of the edge–fog–cloud interplay. This typically hinders the application of self-organizing mechanisms and patterns, which are often designed to work on flat networks. To promote reuse of behavior and flexibility in infrastructure exploitation, we argue that self-organizing logic should be largely independent of the specific application deployment. We show that this separation of concerns can be achieved through a proposed “pulverization approach”: the global system behavior of application services gets broken into smaller computational pieces that are continuously executed across the available hosts. This model can then be instantiated in the aggregate computing framework, whereby self-organizing behavior is specified compositionally. We showcase how the proposed approach enables expressing the application logic of a self-organizing cyber-physical system in a deployment-independent fashion, and simulate its deployment on multiple heterogeneous infrastructures that include cloud, edge, and LoRaWAN network elements.
Role of N–Oxide Moieties in Tuning Supramolecular Gel-State Properties
Authors: Ghosh Dipankar , Bjornsson Ragnar , Damodaran Krishna K.
Published: November 2020

The role of specific interactions in the self-assembly process of low molecular weight gelators (LMWGs) was studied by altering the nonbonding interactions responsible for gel formation via structural modification of the gelator/nongelator. This was achieved by modifying pyridyl moieties of bis(pyridyl) urea-based hydrogelator (4–BPU) and the isomer (3–BPU) to pyridyl N–oxide compounds (L1 and L2, respectively). The modification of the functional groups resulted in the tuning of the gelation properties of the parent gelator, which induced/enhanced the gelation properties. The modified compounds displayed better mechanical and thermal stabilities and the introduction of the N–oxide moieties had a prominent effect on the morphologies of the gel network, which was evident from the scanning electron microscopy (SEM) images. The effect of various interactions due to the introduction of N–oxide moieties in the gel network formation was analyzed by comparing the solid-state interactions of the compounds using single crystal X-ray diffraction and computational studies, which were correlated with the enhanced gelation properties. This study shows the importance of specific nonbonding interactions and the spatial arrangement of the functional groups in the supramolecular gel network formation.
At the X-Roads of Sex and Genetics in Pulmonary Arterial Hypertension
Authors: Cirulis Meghan M. , Dodson Mark W. , Brown Lynn M. , Brown Samuel M. , Lahm Tim , Elliott Greg
Published: November 2020

Group 1 pulmonary hypertension (pulmonary arterial hypertension; PAH) is a rare disease characterized by remodeling of the small pulmonary arteries leading to progressive elevation of pulmonary vascular resistance, ultimately leading to right ventricular failure and death. Deleterious mutations in the serine-threonine receptor bone morphogenetic protein receptor 2 (BMPR2; a central mediator of bone morphogenetic protein (BMP) signaling) and female sex are known risk factors for the development of PAH in humans. In this narrative review, we explore the complex interplay between the BMP and estrogen signaling pathways, and the potentially synergistic mechanisms by which these signaling cascades increase the risk of developing PAH. A comprehensive understanding of these tangled pathways may reveal therapeutic targets to prevent or slow the progression of PAH.
Chromosome Distribution of Highly Conserved Tandemly Arranged Repetitive DNAs in the Siberian Sturgeon (Acipenser baerii)
Authors: Biltueva Larisa S. , Prokopov Dmitry Yu. , Romanenko Svetlana A. , Interesova Elena A. , Schartl Manfred , Trifonov Vladimir A.
Published: November 2020

Polyploid genomes present a challenge for cytogenetic and genomic studies, due to the high number of similar size chromosomes and the simultaneous presence of hardly distinguishable paralogous elements. The karyotype of the Siberian sturgeon (Acipenser baerii) contains around 250 chromosomes and is remarkable for the presence of paralogs from two rounds of whole-genome duplications (WGD). In this study, we applied the sterlet-derived acipenserid satDNA-based whole chromosome-specific probes to analyze the Siberian sturgeon karyotype. We demonstrate that the last genome duplication event in the Siberian sturgeon was accompanied by the simultaneous expansion of several repetitive DNA families. Some of the repetitive probes serve as good cytogenetic markers distinguishing paralogous chromosomes and detecting ancestral syntenic regions, which underwent fusions and fissions. The tendency of minisatellite specificity for chromosome size groups previously observed in the sterlet genome is also visible in the Siberian sturgeon. We provide an initial physical chromosome map of the Siberian sturgeon genome supported by molecular markers. The application of these data will facilitate genomic studies in other recent polyploid sturgeon species.
Experimental Models to Study Autism Spectrum Disorders: hiPSCs, Rodents and Zebrafish
Authors: Pensado-López Alba , Veiga-Rúa Sara , Carracedo Ángel , Allegue Catarina , Sánchez Laura
Published: November 2020

Autism Spectrum Disorders (ASD) affect around 1.5% of the global population, which manifest alterations in communication and socialization, as well as repetitive behaviors or restricted interests. ASD is a complex disorder with known environmental and genetic contributors; however, ASD etiology is far from being clear. In the past decades, many efforts have been put into developing new models to study ASD, both in vitro and in vivo. These models have a lot of potential to help to validate some of the previously associated risk factors to the development of the disorder, and to test new potential therapies that help to alleviate ASD symptoms. The present review is focused on the recent advances towards the generation of models for the study of ASD, which would be a useful tool to decipher the bases of the disorder, as well as to conduct drug screenings that hopefully lead to the identification of useful compounds to help patients deal with the symptoms of ASD.
The Impact of Urinary Incontinence on Quality of Life: A Cross-Sectional Study in the Metropolitan City of Naples
Authors: Corrado Bruno , Giardulli Benedetto , Polito Francesco , Aprea Salvatore , Lanzano Mariangela , Dodaro Concetta
Published: November 2020

Urinary incontinence is a hygienic and psychosocial problem that often brings people to restrict their social life and to experience depression. The main aim of this study was to evaluate the impact of urinary incontinence on quality of life among residents of the Metropolitan City of Naples, Italy, using a newly designed multidimensional questionnaire. The secondary objective was to find which variables affect the quality of life and symptom severity in these patients. To do so, a sample composed of twenty-eight patients was recruited in a multicentre cross-sectional study. Most of the participants had a mild impairment (60%) concerning social life and self-perception, especially those whose education was above the primary level (p = 0.036) and those who followed a pelvic floor rehabilitation program (p = 0.002). Overflow urinary incontinence was associated with a greater deterioration in the aspirational and occupational domain (p = 0.044). Symptom severity was worse in those who had comorbidities (p = 0.038), who had a high body mass index (p = 0.008) or who used diuretics (p = 0.007). In conclusion, our results suggest that there is a significant impairment of quality of life in patients who have only primary education and who follow a pelvic floor rehabilitation program.
Development of a Novel Interactive Multimedia E-Learning Model to Enhance Clinical Competency Training and Quality of Care among Medical Students
Authors: Hsiao Yu-Ting , Liu Hsuan-Yin , Hsiao Chih-Cheng
Published: November 2020

Clinical competencies consisting of skills, knowledge, and communication techniques should be acquired by all medical graduates to optimize healthcare quality. However, transitioning from observation to hands-on learning in clinical competencies poses a challenge to medical students. The aim of this study is to evaluate the impact of a novel interactive multimedia eBook curriculum in clinical competency training. Ninety-six medical students were recruited. Students in the control group (n = 46) were taught clinical competencies via conventional teaching, while students in the experimental group (n = 50) were taught with conventional teaching plus interactive multimedia eBooks. The outcomes of clinical competencies were evaluated using Objective Structured Clinical Examination (OSCE) scores, and feedback on their interactive eBook experiences was obtained. In the experimental group, the average National OSCE scores were not only higher than the control group (214.8 vs. 206.5, p < 0.001), but also showed a quicker improvement when comparing between three consecutive mock OSCEs (p < 0.001). In response to open-ended questions, participants emphasized the importance of eBooks in improving their abilities and self-confidence when dealing with ‘difficult’ patients. Implementing interactive multimedia eBooks could prompt a more rapid improvement in clinical skill performance to provide safer healthcare, indicating the potential of our innovative module in enhancing clinical competencies.
The Perceptions of People with Dementia and Key Stakeholders Regarding the Use and Impact of the Social Robot MARIO
Authors: Casey Dympna , Barrett Eva , Kovacic Tanja , Sancarlo Daniele , Ricciardi Francesco , Murphy Kathy , Koumpis Adamantios , Santorelli Adam , Gallagher Niamh , Whelan Sally
Published: November 2020

People with dementia often experience loneliness and social isolation. This can result in increased cognitive decline which, in turn, has a negative impact on quality of life. This paper explores the use of the social robot, MARIO, with older people living with dementia as a way of addressing these issues. A descriptive qualitative study was conducted to explore the perceptions and experiences of the use and impact of MARIO. The research took place in the UK, Italy and Ireland. Semi-structured interviews were held in each location with people with dementia (n = 38), relatives/carers (n = 28), formal carers (n = 28) and managers (n = 13). The data was analyzed using qualitative content analysis. The findings revealed that despite challenges in relation to voice recognition and the practicalities of conducting research involving robots in real-life settings, most participants were positive about MARIO. Through the robot’s user-led design and personalized applications, MARIO provided a point of interest, social activities, and cognitive engagement increased. However, some formal carers and managers voiced concern that robots might replace care staff.
Health Knowledge of Lifestyle-Related Risks during Pregnancy: A Cross-Sectional Study of Pregnant Women in Germany
Authors: Oechsle Anja , Wensing Michel , Ullrich Charlotte , Bombana Manuela
Published: November 2020

This study aimed to investigate (1) pregnant women’s level of knowledge of lifestyle-related risk factors during pregnancy and their potential health impact on their offspring, and (2) the factors affecting women’s knowledge of lifestyle-related risk factors during pregnancy. A cross-sectional observational study of pregnant women was carried out in obstetric and gynecologic care settings at three hospitals in Southern Germany. Data from 209 pregnant women revealed large knowledge gaps on lifestyle-related risk factors during pregnancy and their potential health impact. Factors affecting women’s knowledge of lifestyle-related risk factors during pregnancy were specifically associated with socioeconomic status, e.g., lower household net income, middle educational level, and statutory health insurance status. Women who had received information from their gynecologist had a higher level of knowledge of lifestyle-related risk factors during pregnancy. This study showed that health promotion regarding lifestyle-related risks during pregnancy specifically needs to address women from the low-to-middle socioeconomic status group. Gynecologists seem particularly effective in providing this information.
Global Mental Health and Services for Migrants in Primary Care Settings in High-Income Countries: A Scoping Review
Authors: Lu Jia , Jamani Shabana , Benjamen Joseph , Agbata Eric , Magwood Olivia , Pottie Kevin
Published: November 2020

Migrants are at a higher risk for common mental health problems than the general population but are less likely to seek care. To improve access, the World Health Organization (WHO) recommends the integration of mental health services into primary care. This scoping review aims to provide an overview of the types and characteristics of mental health services provided to migrants in primary care following resettlement in high-income countries. We systematically searched MEDLINE, EMBASE, PsycInfo, Global Health, and other databases from 1 January 2000 to 15 April 2020. The inclusion criteria consisted of all studies published in English, reporting mental health services and practices for refugee, asylum seeker, or undocumented migrant populations, and were conducted in primary care following resettlement in high-income countries. The search identified 1627 citations and we included 19 studies. The majority of the included studies were conducted in North America. Two randomized controlled trials (RCTs) assessed technology-assisted mental health screening, and one assessed integrating intensive psychotherapy and case management in primary care. There was a paucity of studies considering gender, children, seniors, and in European settings. More equity-focused research is required to improve primary mental health care in the context of global mental health.
Distribution Characteristics of Indoor PM2.5 Concentration Based on the Water Type and Humidification Method
Authors: Park Seonghyun , Seo Janghoo , Lee Sunwoo
Published: November 2020

With the industrialization and rapid development of technology that can measure the concentration of pollutants, studies on indoor atmosphere assessment focusing on occupants have been recently conducted. Pollutants that worsen indoor atmosphere include gaseous and particulate matter (PM), and the effects and diffusion characteristics that influence indoor atmosphere vary depending on the indoor and outdoor concentration. White dust is a PM generated from minerals in water used for humidifiers during winter. Therefore, studies on the impact of white dust on human health and its size distribution are being actively conducted. However, since the indoor PM concentration varies depending on the humidification method and water type used, relevant studies are needed. Accordingly, this study examined the change in the PM2.5 concentration and relative humidity on the basis of water types and humidification method. It was found that the indoor PM2.5 concentration varied from 16 to 350 ug/m3, depending on the water types used for an ultrasonic humidifier. Conversely, when using a natural evaporative humidifier, white dust did not increase the indoor PM2.5 concentration, regardless of the mineral content of the water used. Considering both humidification ability and continuous humidifier use indoors, water purifier with nano-trap filters must be utilized for ultrasonic humidifiers.
Health Literacy for Cardiac Rehabilitation: An Examination of Associated Illness Perceptions, Self-Efficacy, Motivation and Physical Activity
Authors: Walters Ronie , Leslie Stephen J. , Sixsmith Jane , Gorely Trish
Published: November 2020

Following a diagnosis of cardiovascular disease there is a need for patients to self-manage. Health literacy has been shown to be lower in patients with cardiovascular disease, yet research into health literacy in this population is limited. This study used the Health Literacy Questionnaire (HLQ) to examine the health literacy and associated health, health behaviours and psychological profiles of cardiac rehabilitation patients from a remote and rural regional programme in the Scottish Highlands. Consecutive patients referred to the service in a calendar year were sent a cross-sectional questionnaire by post. Hierarchical cluster analysis grouped respondents based on their health literacy profile, and nonparametric methods were used to analyse differences between clusters on the other measures. A total of 282 participants responded (45.7%). Respondents were older (median: 71 years) and more likely to be from more affluent areas. Five health literacy clusters emerged with different profiles of health, physical activity, self-efficacy, motivation and illness perceptions. There was no difference in relation to cardiac rehabilitation attendance by health literacy cluster, but those with lower health literacy were less likely to be aware of the referral. Patterns of health literacy are associated with health, health behaviours and some psychological constructs. Knowledge of distinct cluster characteristics may help services better target interventions.
Lupus Erythematosus Quality of Life Questionnaire (LEQoL): Development and Psychometric Properties
Authors: Castellano-Rioja Elena , Giménez-Espert María del Carmen , Soto-Rubio Ana
Published: November 2020

Lupus erythematosus (LE) affects patients’ quality of life. Nevertheless, no instrument has been developed to assess the quality of life in systemic lupus erythematosus (SLE) and cutaneous lupus erythematosus (CLE) patients. This study aims to develop and psychometrically test the “Quality of Life of Patients with Lupus Erythematosus Instrument” (LEQoL) and study the quality of life of these patients. Finally, percentiles for interpreting scores of LEQoL in patients with LE are provided. This study is cross-sectional, with a sample of 158 patients recruited from a lupus association for the psychometric evaluation of the final version of LEQoL. The scale’s reliability was assessed by Cronbach’s alpha, composite reliability (CR), and average variance extracted (AVE). Validity was examined through exploratory factorial analyses (EFA) and confirmatory factorial analyses (CFA). The definitive model, composed of 21 items grouped into five factors, presented good psychometric properties. Mean levels of quality of life were observed in patients with systemic LE, with higher values in patients with cutaneous LE. The LEQoL instrument is a useful tool for assessing the quality of life of patients with LE, allowing the evaluation of current clinical practices, the identification of educational needs, and the assessment of the effectiveness of interventions intended to improve the quality of life of patients with LE, SLE, and CLE.
Role of Extracellular Vesicles in Epithelial Ovarian Cancer: A Systematic Review
Authors: Lucidi Alessandro , Buca Danilo , Ronsini Carlo , Tinari Sara , Bologna Giuseppina , Buca Davide , Leombroni Martina , Liberati Marco , D’Antonio Francesco , Scambia Giovanni , Lanuti Paola , Petrillo Marco
Published: November 2020

Extracellular vesicles (EVs) are a heterogeneous group of cell-derived submicron vesicles released under physiological or pathological conditions. EVs mediate the cellular crosstalk, thus contributing to defining the tumor microenvironment, including in epithelial ovarian cancer (EOC). The available literature investigating the role of EVs in EOC has been reviewed following PRISMA guidelines, focusing on the role of EVs in early disease diagnosis, metastatic spread, and the development of chemoresistance in EOC. Data were identified from searches of Medline, Current Contents, PubMed, and from references in relevant articles from 2010 to 1 April 2020. The research yielded 194 results. Of these, a total of 36 papers, 9 reviews, and 27 original types of research were retained and analyzed. The literature findings demonstrate that a panel of EV-derived circulating miRNAs may be useful for early diagnosis of EOC. Furthermore, it appears clear that EVs are involved in mediating two crucial processes for metastatic and chemoresistance development: the epithelial–mesenchymal transition, and tumor escape from the immune system response. Further studies, more focused on in vivo evidence, are urgently needed to clarify the role of EV assessment in the clinical management of EOC patients.
Obese Mice with Dyslipidemia Exhibit Meibomian Gland Hypertrophy and Alterations in Meibum Composition and Aqueous Tear Production
Authors: Osae Eugene A. , Bullock Tiffany , Chintapalati Madhavi , Brodesser Susanne , Hanlon Samuel , Redfern Rachel , Steven Philipp , Smith C. Wayne , Rumbaut Rolando E. , Burns Alan R.
Published: November 2020

Background: Dyslipidemia may be linked to meibomian gland dysfunction (MGD) and altered meibum lipid composition. The purpose was to determine if plasma and meibum cholesteryl esters (CE), triglycerides (TG), ceramides (Cer) and sphingomyelins (SM) change in a mouse model of diet-induced obesity where mice develop dyslipidemia. Methods: Male C57/BL6 mice (8/group, age = 6 wks) were fed a normal (ND; 15% kcal fat) or an obesogenic high-fat diet (HFD; 42% kcal fat) for 10 wks. Tear production was measured and meibography was performed. Body and epididymal adipose tissue (eAT) weights were determined. Nano-ESI-MS/MS and LC-ESI-MS/MS were used to detect CE, TG, Cer and SM species. Data were analyzed by principal component analysis, Pearson’s correlation and unpaired t-tests adjusted for multiple comparisons; significance set at p ≤ 0.05. Results: Compared to ND mice, HFD mice gained more weight and showed heavier eAT and dyslipidemia with higher levels of plasma CE, TG, Cer and SM. HFD mice had hypertrophic meibomian glands, increased levels of lipid species acylated by saturated fatty acids in plasma and meibum and excessive tear production. Conclusions: The majority of meibum lipid species with saturated fatty acids increased with HFD feeding with evidence of meibomian gland hypertrophy and excessive tearing. The dyslipidemia is associated with altered meibum composition, a key feature of MGD.
Human Thymic CD10+ PD-1+ Intraepithelial Lymphocyte Precursors Acquire Interleukin-15 Responsiveness at the CD1a– CD95+ CD28– CCR7– Developmental Stage
Authors: Billiet Lore , Goetgeluk Glenn , Bonte Sarah , De Munter Stijn , De Cock Laurenz , Pille Melissa , Ingels Joline , Jansen Hanne , Weening Karin , Van Nieuwerburgh Filip , Kerre Tessa , Taghon Tom , Leclercq Georges , Vandekerckhove Bart
Published: November 2020

Human thymic CD8αα+ CD10+ PD-1+ αβ T cells selected through early agonist selection have been proposed as the putative thymic precursors of the human CD8αα+ intestinal intraepithelial lymphocytes (IELs). However, the progeny of these thymic precursor cells in human blood or tissues has not yet been characterized. Here, we studied the phenotypical and transcriptional differentiation of the thymic IEL precursor (IELp) lineage upon in vitro exposure to cytokines prominent in the peripheral tissues such as interleukin-15 (IL-15) and the inflammatory cytokines interleukin-12 (IL-12) and interleukin-18 (IL-18). We showed that only the CD1a− fraction of the CD10+ PD-1+ IELp population was able to proliferate with IL-15, suggesting that this subset had acquired functionality. These cells downregulated PD-1 expression and completely lost CD10 expression, whereas other surface markers such as CD95 and CXCR3 remained highly expressed. RNA-seq analysis of the IL-15-cultured cells clearly showed induction of innate-like and effector genes. Induction of the cytotoxic machinery by the CD10+ PD-1+ population was acquired in the presence of IL-15 and was further augmented by inflammatory cytokines. Our data suggest that only the CD1a− CD10+ PD-1+ population exits the thymus and survives in the periphery. Furthermore, PD-1 and CD10 expression is not an intrinsic property of this lineage, but rather characterizes a transient stage in differentiation. CD95 and CXCR3 expression combined with the absence of CD28, CCR7, and CD6 expression might be more powerful markers to define this lineage in the periphery.
Sphingomyelin Deacylase, the Enzyme Involved in the Pathogenesis of Atopic Dermatitis, Is Identical to the β-Subunit of Acid Ceramidase
Authors: Teranishi Yasuhiro , Kuwahara Hiroshi , Ueda Masaru , Takemura Tadashi , Kusumoto Masanori , Nakamura Keiji , Sakai Jun , Kimura Toru , Furutani Yasuji , Kawashima Makoto , Imokawa Genji , Nogami-Itoh Mari
Published: November 2020

A ceramide deficiency in the stratum corneum (SC) is an essential etiologic factor for the dry and barrier-disrupted skin of patients with atopic dermatitis (AD). Previously, we reported that sphingomyelin (SM) deacylase, which hydrolyzes SM and glucosylceramide at the acyl site to yield their lysoforms sphingosylphosphorylcholine (SPC) and glucosylsphingosine, respectively, instead of ceramide and/or acylceramide, is over-expressed in AD skin and results in a ceramide deficiency. Although the enzymatic properties of SM deacylase have been clarified, the enzyme itself remains unidentified. In this study, we purified and characterized SM deacylase from rat skin. The activities of SM deacylase and acid ceramidase (aCDase) were measured using SM and ceramide as substrates by tandem mass spectrometry by monitoring the production of SPC and sphingosine, respectively. Levels of SM deacylase activity from various rat organs were higher in the order of skin > lung > heart. By successive chromatography using Phenyl-5PW, Rotofor, SP-Sepharose, Superdex 200 and Shodex RP18-415, SM deacylase was purified to homogeneity with a single band of an apparent molecular mass of 43 kDa with an enrichment of > 14,000-fold. Analysis by MALDI-TOF MS/MS using a protein spot with SM deacylase activity separated by 2D-SDS-PAGE allowed its amino acid sequence to be determined and identified as the β-subunit of aCDase, which consists of α- and β-subunits linked by amino bonds and a single S-S bond. Western blotting of samples treated with 2-mercaptoethanol revealed that, whereas recombinant human aCDase was recognized by antibodies to the α-subunit at ~56 kDa and ~13 kDa and the β-subunit at ~43 kDa, the purified SM deacylase was detectable only by the antibody to the β-subunit at ~43 kDa. Breaking the S-S bond of recombinant human aCDase with dithiothreitol elicited the activity of SM deacylase with ~40 kDa upon gel chromatography. These results provide new insights into the essential role of SM deacylase expressed as an aCDase-degrading β-subunit that evokes the ceramide deficiency in AD skin.
Detailed Insight into the Interaction of Bicyclic Somatostatin Analogue with Cu(II) Ions
Authors: Marciniak Aleksandra , Witak Weronika , Sabatino Giuseppina , Papini Anna Maria , Brasuń Justyna
Published: November 2020

Somatostatin analogues are useful pharmaceuticals in peptide receptor radionuclide therapy. In previous studies, we analyzed a new bicyclic somatostatin analogue (BCS) in connection with Cu(II) ions. Two characteristic sites were present in the peptide chain: the receptor- and the metal-binding site. We have already shown that this ligand can form very stable imidazole complexes with the metal ion. In this work, our aim was to characterize the intramolecular interaction that occurs in the peptide molecule. Therefore, we analyzed the coordination abilities of two cyclic ligands, i.e., P1 only with the metal binding site and P2 with both sites, but without the disulfide bond. Furthermore, we used magnetic circular dichroism (MCD) spectroscopy to better understand the coordination process. We applied this method to analyze spectra of P1, P2, and BCS, which we have described previously. Additionally, we analyzed the MCD spectra of P3 ligand, which has only the receptor binding site in its structure. We have unequivocally shown that the presence of the Phe-Trp-Lys-Thr motif and the disulfide bond significantly increases the metal binding efficiency.
American Children’s Screen Time: Diminished Returns of Household Income in Black Families
Authors: Assari Shervin
Published: November 2020

While increased household income is associated with overall decreased screen time for children, less is known about the effect of racial variation on this association. According to Minorities’ Diminished Returns (MDRs) theory, family income and other economic resources show weaker association with children’s developmental, behavioral, and health outcomes for racialized groups such as black families, due to the effect of racism and social stratification. In this study, we investigated the association, by race, between family income and children’s screen time, as a proxy of screen time. This longitudinal study followed 15,022 American children aged 9–11 over a 1-year period. The data came from the baseline of the Adolescent Brain Cognitive Development (ABCD) study. The independent variable was family income, and it was categorized as a three-level nominal variable. The dependent variable, screen time, was a continuous variable. Ethnicity, gender, parental education, and marital status were the covariates. The results showed that family income was inversely associated with children’s screen time. However, there was a weaker inverse association seen in black families when compared with white families. This was documented by a significant statistical interaction between race and family income on children’s screen time. Diminished association between family income and children’s screen time for black families, compared with white families, is similar to MDRs and reflects a health risk to high-income black children. In a society where race and skin color determine opportunities and treatment by society, children from middle class black families remain at risk across multiple domains. We should not assume that income similarly promotes the health of all racial and ethnic groups. Addressing health and behavioral inequalities requires interventions that go beyond equalizing socioeconomic resources for black families. Marginalization, racism, and poverty interfere with the normal family income-related development of American children.
Phenotypic Characteristics and Development of a Hospitalization Prediction Risk Score for Outpatients with Diabetes and COVID-19: The DIABCOVID Study
Authors: Lasbleiz Adèle , Cariou Bertrand , Darmon Patrice , Soghomonian Astrid , Ancel Patricia , Boullu Sandrine , Houssays Marie , Romain Fanny , Lagier Jean Christophe , Boucekine Mohamed , Resseguier Noémie , Gourdy Pierre , Pichelin Matthieu , Wargny Matthieu , Dutour Anne , Gaborit Bénédicte
Published: November 2020

Diabetes mellitus (DM) has been identified as a risk factor for severe COVID-19. DM is highly prevalent in the general population. Defining strategies to reduce the health care system burden and the late arrival of some patients thus seems crucial. The study aim was to compare phenotypic characteristics between in and outpatients with diabetes and infected by COVID-19, and to build an easy-to-use hospitalization prediction risk score. This was a retrospective observational study. Patients with DM and laboratory- or CT-confirmed COVID-19, who did (n = 185) and did not (n = 159) require hospitalization between 10 March and 10 April 2020, were compared. Data on diabetes duration, treatments, glycemic control, complications, anthropometrics and peripheral oxygen saturation (SpO2) were collected from medical records. Stepwise multivariate logistic regressions and ROC analyses were performed to build the DIAB score, a score using no more than five easy-to-collect clinical parameters predicting the risk of hospitalization. The DIAB score was then validated in two external cohorts (n = 132 and n = 2036). Hospitalized patients were older (68.0 ± 12.6 vs. 55.2 ± 12.6 years, p < 0.001), with more class III obesity (BMI ≥ 40 kg/m2, 9.7 vs. 3.5%, p = 0.03), hypertension (81.6 vs. 44.3%, p < 0.0001), insulin therapy (37% vs. 23.7%, p = 0.009), and lower SpO2 (91.6 vs. 97.3%, p < 0.0001) than outpatients. Type 2 DM (T2D) was found in 94% of all patients, with 10 times more type 1 DM in the outpatient group (11.3 vs. 1.1%, p < 0.0001). A DIAB score > 27 points predicted hospitalization (sensitivity 77.7%, specificity 89.2%, AUC = 0.895), and death within 28 days. Its performance was validated in the two external cohorts. Outpatients with diabetes were found to be younger, with fewer diabetic complications and less severe obesity than inpatients. DIAB score is an easy-to-use score integrating five variables to help clinicians better manage patients with DM and avert the saturation of emergency care units.
The Association between Delivery during the COVID-19 Pandemic and Immediate Postpartum Maternal Cognitive Function
Authors: Hamami Hagai , Sheiner Eyal , Wainstock Tamar , Mazor Elad , Lanxner Battat Talya , Walfisch Asnat , Kosef Tamar , Pariente Gali
Published: November 2020

Survivors of the 2003 SARS epidemic were found to have higher rates of adverse mental conditions. This study aimed to assess cognitive function in women delivering during the COVID-19 pandemic, as compared to women who delivered before the COVID-19 pandemic. A cohort study was performed during the immediate postpartum period of women delivering singletons at term. Cognitive function was assessed using an objective neurocognitive test (Symbol Digit Modalities Test SDMT90, SDMT4) and a subjective self-estimation questionnaire (Attention Function Index AFI). The exposed group was recruited during the COVID-19 outbreak in Israel (May 2020), whereas the comparison group consisted of women delivering at the same medical center before the COVID-19 pandemic (2016–2017). Multivariable regression models were constructed to control potential confounders. There were 79 parturients recruited during the COVID-19 pandemic and compared with 123 women who delivered before the COVID-19 pandemic. Women delivering during the COVID-19 pandemic scored lower in the subjective AFI test compared to the unexposed group (70.0 ± 15.4 vs. 75.1 ± 14.7, p = 0.018). However, no significant difference was found in the objective SDMT tests scores. These results remained similar in the multivariable regression models when controlling for maternal age, ethnicity and time from admission to assessment, for AFI, SDMT90 and SDMT4 scores (p = 0.014; p = 0.734; p = 0.786; respectively). While no significant difference was found in objective tests, our findings propose that the exposure to the COVID-19 pandemic is independently associated with a significant decrease in subjective maternal cognitive function during the immediate postpartum period.
The Burden of Potentially Inappropriate Medications in Chronic Polypharmacy
Authors: Guillot Jordan , Maumus-Robert Sandy , Marceron Alexandre , Noize Pernelle , Pariente Antoine , Bezin Julien
Published: November 2020

We aimed to describe the burden represented by potentially inappropriate medications (PIMs) in chronic polypharmacy in France. We conducted a nationwide cross-sectional study using data from the French National Insurance databases. The study period was from 1 January 2016 to 31 December 2016. Chronic drug use was defined as uninterrupted daily use lasting ≥6 months. Chronic polypharmacy was defined as the chronic use of ≥5 medications, and chronic hyperpolypharmacy as the chronic use of ≥10 medications. For individuals aged ≥65 (older adults), PIMs were defined according to the Beers and Laroche lists, and for individuals aged 45–64 years (middle-aged) PIMs were defined according to the PROMPT (Prescribing Optimally in Middle-aged People’s Treatments) list. Among individuals with chronic polypharmacy, 4009 (46.2%) middle-aged and 18,036 (64.8%) older adults had at least one chronic PIM. Among individuals with chronic hyperpolypharmacy, these figures were, respectively, 570 (75.0%) and 2544 (88.7%). The most frequent chronic PIM were proton pump inhibitors (43.4% of older adults with chronic polypharmacy), short-acting benzodiazepines (older adults: 13.7%; middle-aged: 16.1%), hypnotics (6.1%; 7.4%), and long-acting sulfonylureas (3.9%; 12.3%). The burden of chronic PIM appeared to be very high in our study, concerning almost half of middle-aged adults and two-thirds of older adults with chronic polypharmacy. Deprescribing interventions in polypharmacy should primarily target proton pump inhibitors and hypnotics.
Neuroparacoccidioidomycosis: A 13-Year Cohort Study, Rio de Janeiro, Brazil
Authors: de Macedo Priscila Marques , Falcão Eduardo Mastrangelo Marinho , Freitas Dayvison Francis Saraiva , Freitas Andréa d’Avila , Coutinho Ziadir Francisco , Muniz Mauro de Medeiros , Zancopé-Oliveira Rosely Maria , Almeida-Paes Rodrigo , da Silva Marcus Tulius Teixeira , do Valle Antonio Carlos Francesconi
Published: November 2020

Neuroparacoccidioidomycosis (NPCM) is a rare and severe clinical presentation of paracoccidioidomycosis (PCM). We performed a retrospective cohort study at the Evandro Chagas National Institute of Infectious Diseases (INI/Fiocruz), a reference center for PCM in the state of Rio de Janeiro, Brazil. All cases of PCM admitted to the INI/Fiocruz from January 2007 to December 2019 were reviewed. Eight (3.9%) among 207 patients met the diagnostic criteria for NPCM. The mean age was 44.6 years and the male:female ratio was 7:1. All cases presented multifocal disease, 5 (62.5%) the chronic form and 3 (37.5%) the acute/subacute form. All patients presented the pseudotumoral pattern and 6 (75.0%) had multiple lesions in the cerebral hemispheres. Seizures and motor symptoms were the most frequent clinical manifestations (50.0%, each). The treatment of choice was sulfamethoxazole/trimethoprim (SMZ-TMP) and fluconazole, in association (87.5%). Most patients responded well to the treatment. Sequela and death occurred in one (12.5%) patient, each.
The Aumann–Serrano Performance Index for Multi-Period Gambles in Stock Data
Authors: Hodoshima Jiro , Yamawake Toshiyuki
Published: November 2020

We present an empirical study of the Aumann-Serrano performance index for multi-period gambles when the underlying stochastic process is assumed to be a normal mixture process with time-varying volatility. We compare the Aumann-Serrano performance index for multi-period gambles with that for one-period gambles as well as the Sharpe ratio. Our empirical study is obtained using a selection of U.S. stock data and shows evaluation of a selection of stocks becomes more distinct in multi-period gambles than in one-period gambles in the sense that a favorable evaluation score becomes even better in multi-period gambles than in one-period gambles while an unfavorable evaluation score becomes even worse in multi-period gambles than in one-period gambles.
Recent Advancements in Section “Economics and Finance”
Authors: Stengos Thanasis
Published: November 2020

The section “Economics and Finance” brings together a collection of papers that cover a variety of topics both in the areas of economics and finance [...]
Developing a UML Model for the 3D Cadastre in Poland
Authors: Bydłosz Jarosław , Bieda Agnieszka
Published: November 2020

The UML model of a land and building cadastre is defined in current Polish legal regulations. Its main part is the UML application schema that defines relationships between the main cadastral objects in sixteen diagrams. These objects—cadastral parcels, buildings and (independent) premises—are essentially 2D objects. Their relationships with other cadastral objects are compared and analysed in this paper. The UML model is built to supplement the application scheme of the traditional cadastral model with three new objects that are the equivalents of the main cadastral objects in 3D: ‘Cadastral Parcel 3D’, ‘Building Legal Space 3D’ and ‘Premises 3D’. Although the first two have been defined in earlier publications, this paper defines ‘Premises 3D’. Objects such as ‘Building Common Part 3D’ and ‘Building Part of Non-Extracted Premises 3D’ are proposed. The relationships among new 3D cadastral objects and objects of traditional cadastre are presented in three new diagrams. The authors propose that these new diagrams are added to the current cadastral model. It could be the foundation for building a future 3D cadastral model in Poland. In the authors’ opinion, the applied methodology may also be used in various legal systems.
Simulation of Bullet Fragmentation and Penetration in Granular Media
Authors: Soriano-Moranchel Froylan Alonso , Sandoval-Pineda Juan Manuel , Gutiérrez-Paredes Guadalupe Juliana , Silva-Rivera Usiel Sandino , Flores-Herrera Luis Armando
Published: November 2020

The aim of this work is to simulate the fragmentation of bullets impacted through granular media, in this case, sand. In order to validate the simulation, a group of experiments were conducted with the sand contained in two different box prototypes. The walls of the first box were constructed with fiberglass and the second with plywood. The prototypes were subjected to the impact force of bullets fired 15 m away from the box. After the shots, X-ray photographs were taken to observe the penetration depth. Transient numerical analyses were conducted to simulate these physical phenomena by using the smooth particle hydrodynamics (SPH) module of ANSYS® 2019 AUTODYN software. Advantageously, this module considers the granular media as a group of uniform particles capable of transferring kinetic energy during the elastic collision component of an impact. The experimental results demonstrated a reduction in the maximum bullet kinetic energy of 2750 J to 100 J in 0.8 ms. The numerical results compared with the X-ray photographs showed similar results demonstrating the capability of sand to dissipate kinetic energy and the fragmentation of the bullet caused at the moment of impact.
Composite and Surface Functionalization of Ultrafine-Grained Ti23Zr25Nb Alloy for Medical Applications
Authors: Marczewski Mateusz , Jurczyk Mieczysława U. , Kowalski Kamil , Miklaszewski Andrzej , Wirstlein Przemysław K. , Jurczyk Mieczysław
Published: November 2020

In this study, the ultrafine-grained Ti23Zr25Nb-based composites with 45S5 Bioglass and Ag, Cu, or Zn additions were produced by application of the mechanical alloying technique. Additionally, the base Ti23Zr25Nb alloy was electrochemically modified in the two stages of processing: electrochemical etching in the solution of H3PO4 and HF followed by electrochemical deposition in Ca(NO3)2, (NH4)2HPO4, and HCl. The in vitro cytocompatibility studies were also done with comparison to the commercially pure titanium. The established cell lines of Normal Human Osteoblasts (NHost, CC-2538) and Human Periodontal Ligament Fibroblasts (HPdLF, CC-7049) were used. The culture was conducted among the tested materials. Ultrafine-grained titanium-based composites modified with 45S5 Bioglass and Ag, Cu, or Zn metals have higher biocompatibility than the reference material in the form of a microcrystalline Ti. Proliferation activity was at a stable level with contact with studied materials. In vitro evaluation research showed that the ultrafine-grained Ti23Zr25Nb-based composites with 45S5 Bioglass and Ag, Cu, or Zn additions, with a Young modulus below 50 GPa, can be further used in the biomedical field.
Non-Spiking Laser Controlled by a Delayed Feedback
Authors: Kovalev Anton V. , Viktorov Evgeny A. , Erneux Thomas
Published: November 2020

In 1965, Statz et al. (J. Appl. Phys. 30, 1510 (1965)) investigated theoretically and experimentally the conditions under which spiking in the laser output can be completely suppressed by using a delayed optical feedback. In order to explore its effects, they formulate a delay differential equation model within the framework of laser rate equations. From their numerical simulations, they concluded that the feedback is effective in controlling the intensity laser pulses provided the delay is short enough. Ten years later, Krivoshchekov et al. (Sov. J. Quant. Electron. 5394 (1975)) reconsidered the Statz et al. delay differential equation and analyzed the limit of small delays. The stability conditions for arbitrary delays, however, were not determined. In this paper, we revisit Statz et al.’s delay differential equation model by using modern mathematical tools. We determine an asymptotic approximation of both the domains of stable steady states as well as a sub-domain of purely exponential transients.
Solutions of Sturm-Liouville Problems
Authors: Perera Upeksha , Böckmann Christine
Published: November 2020

This paper further improves the Lie group method with Magnus expansion proposed in a previous paper by the authors, to solve some types of direct singular Sturm–Liouville problems. Next, a concrete implementation to the inverse Sturm–Liouville problem algorithm proposed by Barcilon (1974) is provided. Furthermore, computational feasibility and applicability of this algorithm to solve inverse Sturm–Liouville problems of higher order (for n=2,4) are verified successfully. It is observed that the method is successful even in the presence of significant noise, provided that the assumptions of the algorithm are satisfied. In conclusion, this work provides a method that can be adapted successfully for solving a direct (regular/singular) or inverse Sturm–Liouville problem (SLP) of an arbitrary order with arbitrary boundary conditions.
Comparing Deep-Learning Architectures and Traditional Machine-Learning Approaches for Satire Identification in Spanish Tweets
Authors: Apolinario-Arzube Óscar , García-Díaz José Antonio , Medina-Moreira José , Luna-Aveiga Harry , Valencia-García Rafael
Published: November 2020

Automatic satire identification can help to identify texts in which the intended meaning differs from the literal meaning, improving tasks such as sentiment analysis, fake news detection or natural-language user interfaces. Typically, satire identification is performed by training a supervised classifier for finding linguistic clues that can determine whether a text is satirical or not. For this, the state-of-the-art relies on neural networks fed with word embeddings that are capable of learning interesting characteristics regarding the way humans communicate. However, as far as our knowledge goes, there are no comprehensive studies that evaluate these techniques in Spanish in the satire identification domain. Consequently, in this work we evaluate several deep-learning architectures with Spanish pre-trained word-embeddings and compare the results with strong baselines based on term-counting features. This evaluation is performed with two datasets that contain satirical and non-satirical tweets written in two Spanish variants: European Spanish and Mexican Spanish. Our experimentation revealed that term-counting features achieved similar results to deep-learning approaches based on word-embeddings, both outperforming previous results based on linguistic features. Our results suggest that term-counting features and traditional machine learning models provide competitive results regarding automatic satire identification, slightly outperforming state-of-the-art models.