bluuebunny/crossref_metadata_2025 huggingface dataset:
Characterization of Candida species isolated from clinical specimens: insights into virulence traits, antifungal resistance and molecular profiles
Authors: Makled Amal F. , Ali Sahar A. M. , Labeeb Azza Z. , Salman Samar S. , Shebl Doaa Z. M. , Hegazy Sarah G. , Sabal Mona S.
Published: October 2024

Background

Candida species have emerged as a significant cause of opportunistic infections. Alongside the expression of various virulence factors, the rise of antifungal resistance among Candida species presents a considerable clinical challenge.

Aim

This study aimed to identify different Candida species isolated from clinical specimens, evaluate their antifungal sensitivity patterns, identify key genes regulating virulence mechanisms using multiplex PCR and to assess any correlation between their virulence profiles and antifungal resistance patterns.

Method

A total of 100 Candida spp. was isolated from 630 different clinical specimens and identified to the species level. Their antifungal susceptibility was phenotypically evaluated in accordance with CLSI guidelines using the Vitek-2 Compact System. Virulence markers, including biofilm formation capacity, protease production, melanin production, coagulase production and hemolysin production, were also phenotypically detected. The genetic determinants for biofilm formation and extracellular hydrolytic enzymes were assessed using a multiplex PCR assay.

Results

The prevalence of Candida spp. was 15.9%, with C. albicans (48%) and C. glabrata (16%) being the most common. C. albicans showed the highest virulence, with strong biofilm formation, and high proteinase and melanin production. Multiplex PCR revealed Hlp in 22.0%, Hwp in 80.0%, Als in 56.0%, and Sap genes in 56.0% of isolates. Virulence genes were more common in C. albicans than in non-albicans Candida (NAC). Resistance patterns significantly correlated with virulence profiles, with notable associations between flucytosine resistance and the presence of Hlp and Hwp genes.

Conclusion

The significant correlation between virulent markers such as germination, coagulase, hemolysin production and resistance patterns among different Candida isolates is crucial for predicting the severity and outcomes of Candida infections. This understanding aids in guiding tailored treatment strategies.
Influenza in travelers from Germany returning from abroad: a retrospective case–control study
Authors: Brehm Thomas Theo , Shijaku Fabian , Krumkamp Ralf , Jochum Johannes , Hoffmann Armin , Ramharter Michael , Kreuels Benno
Published: October 2024

Background

Influenza is the most common vaccine-preventable infection among travelers, affecting approximately one percent of those travelling to subtropical and tropical destinations.

Methods

We analysed demographic, travel-related and clinical information from travelers diagnosed with influenza at our travel clinic between January 2015 and March 2020 and influenza-negative controls.

Results

We included 68 travelers diagnosed with influenza and 207 controls. In total, 22.1% of influenza patients (n = 15) were older than 60 years and/or had comorbidities for which annual influenza vaccination is recommended, but only one had received an influenza vaccine. Patients with respiratory and musculoskeletal symptoms who presented during the German influenza season had the highest risk proportion of positive tests (54%, n = 25/46). Overall, three (4.4%) influenza patients were hospitalised, two (2.9%) received antiviral treatment, and eight (11.8%) received antibiotic therapy.

Conclusions

Influenza occurs throughout the year in international travelers and can cause significant morbidity. Travelers with febrile illness should be tested for influenza, especially if they have respiratory or musculoskeletal symptoms, present during the local influenza season, or have travelled to South-East Asia. Influenza vaccination coverage among international travelers needs to be improved among high-risk individuals.
Study protocol TransTAM: Transdiagnostic research into emotional disorders and cognitive-behavioral therapy of the adaptive mind
Authors: Hermann Andrea , Benke Christoph , Blecker Carlo R. , de Haas Benjamin , He Yifei , Hofmann Stefan G. , Iffland Jona R. , Jengert-Stahl Johanna , Kircher Tilo , Leinweber Katrin , Linka Marcel , Mulert Christoph , Neudert Marie K. , Noll Ann-Kathrin , Melzig Christiane A. , Rief Winfried , Rothkopf Constantin , Schäfer Axel , Schmitter Christina V. , Schuster Verena , Stark Rudolf , Straube Benjamin , Zimmer Raphaela I. , Kirchner Lukas
Published: October 2024

Background

Emotional disorders such as depression and anxiety disorders share substantial similarities in their etiology and treatment. In recent decades, these commonalities have been increasingly recognized in classification systems and treatment programs crossing diagnostic boundaries.

Methods

To examine the prospective effects of different transdiagnostic markers on relevant treatment outcomes, we plan to track a minimum of N = 200 patients with emotional disorders during their routine course of cognitive behavioral therapy at two German outpatient clinics. We will collect a wide range of transdiagnostic markers, ranging from basic perceptual processes and self-report measures to complex behavioral and neurobiological indicators, before entering therapy. Symptoms and psychopathological processes will be recorded before entering therapy, between the 20th and 24th therapy session, and at the end of therapy.

Discussion

Our results could help to identify transdiagnostic markers with high predictive power, but also provide deeper insights into which patient groups with which symptom clusters are less likely to benefit from therapy, and for what reasons.

Trial Registration

The trial was preregistered at the German Clinical Trial Register (DRKS-ID: DRKS00031206; 2023–05-09).
Living less safely through the pandemic in England for people with serious mental and physical health conditions: qualitative interviews with service users and carers of Black African, Caribbean, and South-Asian descent
Authors: Ocloo Josephine , Stuart Ruth , Dasch Hannah K. , Dyer Jacqui , Choudhury Dina , McAnuff Leroy , McGowan Stephen , Bakolis Ioannis , Das-Munshi Jayati
Published: October 2024

Background

COVID-19 Ethnic Inequalities in Mental health and Multimorbidities (COVEIMM) is a mixed methods study to explore whether COVID-19 exacerbated ethnic health inequalities in adults with serious mental and physical health conditions. We analysed data from electronic health records for England and conducted interviews in Birmingham and Solihull, Manchester, and South London. Sites were selected because they were pilot sites for the Patient and Carer Race Equality Framework being introduced by NHS England to tackle race inequalities in mental health. Prior to the pandemic people in England with severe mental illnesses (SMIs) faced an 11–17-year reduction in life expectancy, mostly due to preventable, long-term, physical health conditions. During the pandemic there was a marked increase in deaths of those living with an SMI.

Aims

This qualitative interview study aimed to understand the reasons underlying ethnic inequalities in mortality and service use during the COVID-19 pandemic for adult service users and carers of Black African, Black Caribbean, Indian, Pakistani, and Bangladeshi backgrounds living with serious multiple long-term mental and physical health conditions.

Methods

We took a participatory action research approach and qualitative interviews undertaken by experts-by-experience and university researchers Participants were purposively sampled by ethnicity, diagnoses, and comorbidities across three geographically distinct sites in England. Transcriptions were coded inductively and deductively and analysed thematically.

Results

Findings indicated multiple points along primary and secondary health pathways for mental and physical health that have the potential to exacerbate the unjust gap in mortality that exists for Black and Asian people with SMIs. Issues such as timely access to care (face-to-face and remote), being treated in a culturally appropriate manner with empathy, dignity and respect, and being able to use services without experiencing undue force, racism or other forms of intersectional discrimination were important themes arising from interviews.

Conclusion

These poor experiences create systemic and enduring healthcare harms for racialised groups with SMIs that need to be addressed. Our findings suggest a need to address these, not only in mental health providers, but across the whole health and care system and a need to ensure more equitable healthcare partnerships with service users, carers, and communities from racialised backgrounds who are often excluded.
Influence of curing mode and aging on the bonding performance of universal adhesives in coronal and root dentin
Authors: Ismail Hoda Saleh , Ali Ashraf Ibrahim , Elawsya Mohamed Elshirbeny
Published: October 2024

Background

This study aims to evaluate the microtensile bond strength (µTBS) of different resin composite restorations bonded to mid-coronal dentin and proximal root dentin using light-cured, chemical-cured, and dual-cured adhesives immediately and after aging. Nanoleakage and degree of cure were also assessed.

Methods

Eighty-four molars were divided into mid-coronal dentin and proximal root dentin. Each group was further subdivided into three subgroups based on the restorative systems used, which involved the utilization of light-cured, chemical-cured, and dual-cured adhesives. Half of the specimens underwent µTBS testing after 24 h, while the other half after aging. Representative specimens were analyzed for nanoleakage. The degree of cure of the tested adhesive systems was also assessed.

Results

Aging showed a significant negative effect on µTBS results and led to increased nanoleakage (p < 0.001). Furthermore, in all subgroups, the µTBS values of proximal root dentin were lower compared to mid-coronal dentin, except in the aged subgroup for the system utilizing the dual-cured adhesive. The restorative systems with chemical and dual-cured adhesives demonstrated comparable bonding properties. However, the system with the light-cured adhesive exhibited the worst bonding properties after aging when bonded to proximal root dentin and cured at a large distance (p < 0.05).

Conclusions

All tested restorative systems were negatively affected by aging, and the regional dentin had variable effects on the bonding properties. Clinicians should exercise caution when using the tested light-cured adhesive in areas where the curing distance exceeds 3 mm.
A novel toothbrush with a thin-head, slender-neck and super-tapered bristles enhancing accessibility in hard-to-reach areas: a crossover randomized trial
Authors: Kim Hyo-Jung , Lee Joo-Yeon , Lee Eun-Song , Kim Da-Mi , Jung Ui-Won , Cha Jae-Kook , Kim Baek-Il
Published: October 2024

Background

Toothbrushing is the most commonly used method to physically remove dental plaque. However, there are many areas of the mouth that are difficult to reach with a toothbrush. The type of toothbrush is a critical factor influencing the effectiveness of oral care. The purpose of the study was to evaluate a toothbrush with a thin head, slender-neck and super-tapered bristles to target hard-to-reach areas in the oral cavity for reducing dental plaque and gingivitis.

Methods

This crossover study included 58 adults aged 20 years and older. All participants were randomly assigned to use test and control toothbrushes (the latter had a normal head and round bristles) for two 4-week phases. Participants brushed their teeth twice daily in their habitual manner. At the start and end of each phase the Silness-Lӧe plaque index (PI), Lӧe -Silness gingival index (GI) and bleeding-on-probing index (BOP) were assessed and performed plaque fluorescence tests using quantitative light-induced fluorescence technology.

Results

After using the test toothbrush, PI, GI and BOP decreased by 25%, 30% and 48%, respectively (P < 0.05). For the rearmost molars, PI, GI and BOP decreased by 18%, 26% and 47%, respectively (P < 0.05). For the implants, GI and BOP decreased by 31% and 57%, respectively (P < 0.05). The plaque fluorescence tests indicated that after using the test toothbrush, the dental plaque area for the anterior teeth and the simple plaque score for the rearmost molars decreased by 25% (P < 0.05) and 14% (P = 0.527), respectively.

Conclusions

The test toothbrush was markedly better than the control toothbrush at reducing dental plaque and gingivitis. In particular, the test toothbrush produced an excellent reduction in dental plaque and gingivitis for the rearmost molars and the implants.

Trial registration

KCT0009669, retrospectively registered 02/08/2024.
Applicability of a digital health application for cancer patients: a qualitative non-participation analysis
Authors: Pfeifer Klara , Tewes Mitra , Kasper Stefan , Hense Jörg , Franco Jan , Schuler Martin , Schöbel Christoph , Ates Gülay
Published: October 2024

Background

The use of digital health applications (German acronym DiGA) for comprehensive patient care is increasing rapidly. Patients with non-organic insomnia can be prescribed an application to manage insomnia. Due to the high prevalence of insomnia in patients with cancer, we were interested in the effect of it and what barriers need to be overcome for its use. The focus of existing studies on acceptance and benefits prompted us to emphasise the analysis of barriers and thus to formulate possible solutions.

Methods

To analyse the barriers of use, the study population (patients with self-reported tiredness or sleep disturbance via validated instruments and cancer disease) was divided into 3 groups. In groups 1 (patients who refused to participate in advance) and 2 (patients who refused a prescription), short close-ended questionnaires were used for non-response assessment by treating oncologists. Problem-centred guidelines were used for the telephone interviews with group 3 (patients who did not provide information on DiGA use). Alternatively, group 3 was invited to complete and return the close-ended questionnaire. A quantitative analysis of the non-response reasons was conducted using SPSS in groups 1 and 2, while MAXQDA was used for the qualitative data in group 3.

Results

Patients refused to participate at several stages of our study. Quantitative data are available for groups 1 and 2. In the largest group 1, 62% of patients refused to participate due to non-subjective sleep disturbance (177 out of 189 patients) during recruitment by treating oncologists, despite high scores on the screening tool. In the small group 2 (11 out of 15), the most common reasons for withdrawal documented by the oncologists were loss of interest and deteriorating health. The problem-centred qualitative interviews with group 3 (17 patients) revealed that some of them used the prescribed DiGA, despite not being included in the main study and being categorized as lost to follow-up.

Conclusion

Analysis of barriers to DiGA use showed that reducing administrative barriers and providing digital and personal support can increase acceptance of the use of DiGAs among cancer patients. Additionally, screening tools can act as a door opener to further communication regarding DiGAs.

Trial registration

German Register of Clinical Trials DRKS00034198, registration date: 7/05/24 (retrospectively registered).
Hijacking host extracellular vesicle machinery by hepatotropic viruses: current understandings and future prospects
Authors: Chu Yu-De , Chen Mi-Chi , Yeh Chau-Ting , Lai Ming-Wei
Published: October 2024

Recent advances in studies exploring the roles of extracellular vesicles (EVs) in viral transmission and replication have illuminated hepatotropic viruses, such as hepatitis A (HAV), hepatitis B (HBV), hepatitis C (HCV), hepatitis D (HDV), and hepatitis E (HEV). While previous investigations have uncovered these viruses’ ability to exploit cellular EV pathways for replication and transmission, most have focused on the impacts of exosomal pathways. With an improved understanding of EVs, four main subtypes, including exosomes, microvesicles, large oncosomes, and apoptotic bodies, have been categorized based on size and biogenic pathways. However, there remains a noticeable gap in comprehensive reviews summarizing recent findings and outlining future perspectives for EV studies related to hepatotropic viruses. This review aims to consolidate insights into EV pathways utilized by hepatotropic viruses, offering guidance for the future research direction in this field. By comprehending the diverse range of hepatotropic virus-associated EVs and their role in cellular communication during productive viral infections, this review may offer valuable insights for targeting therapeutics and devising strategies to combat virulent hepatotropic virus infections and the associated incidence of liver cancer.
Engineering of Aspergillus niger for efficient production of d-xylitol from l-arabinose
Authors: Rüllke Marcel , Schönrock Veronika , Schmitz Kevin , Oreb Mislav , Tamayo Elisabeth , Benz J. Philipp
Published: October 2024

d-Xylitol is a naturally occurring sugar alcohol present in diverse plants that is used as an alternative sweetener based on a sweetness similar to sucrose and several health benefits compared to conventional sugar. However, current industrial methods for d-xylitol production are based on chemical hydrogenation of d-xylose, which is energy-intensive and environmentally harmful. However, efficient conversion of l-arabinose as an additional highly abundant pentose in lignocellulosic materials holds great potential to broaden the range of applicable feedstocks. Both pentoses d-xylose and l-arabinose are converted to d-xylitol as a common metabolic intermediate in the native fungal pentose catabolism.

To engineer a strain capable of accumulating d-xylitol from arabinan-rich agricultural residues, pentose catabolism was stopped in the ascomycete filamentous fungus Aspergillus niger at the stage of d-xylitol by knocking out three genes encoding enzymes involved in d-xylitol degradation (ΔxdhA, ΔsdhA, ΔxkiA). Additionally, to facilitate its secretion into the medium, an aquaglyceroporin from Saccharomyces cerevisiae was tested. In S. cerevisiae, Fps1 is known to passively transport glycerol and is regulated to convey osmotic stress tolerance but also exhibits the ability to transport other polyols such as d-xylitol. Thus, a constitutively open version of this transporter was introduced into A. niger, controlled by multiple promoters with varying expression strengths. The strain expressing the transporter under control of the PtvdA promoter in the background of the pentose catabolism-deficient triple knock-out yielded the most favorable outcome, producing up to 45% d-xylitol from l-arabinose in culture supernatants, while displaying minimal side effects during osmotic stress. Due to its additional ability to extract d-xylose and l-arabinose from lignocellulosic material via the production of highly active pectinases and hemicellulases, A. niger emerges as an ideal candidate cell factory for d-xylitol production from lignocellulosic biomasses rich in both pentoses.

In summary, we are showing for the first time an efficient biosynthesis of d-xylitol from l-arabinose utilizing a filamentous ascomycete fungus. This broadens the potential resources to include also arabinan-rich agricultural waste streams like sugar beet pulp and could thus help to make alternative sweetener production more environmentally friendly and cost-effective.
DepActive: study protocol for a randomised controlled multicentre trial of telephone-delivered behavioural activation for the treatment of depression in older adults in primary care
Authors: Byström Elin , Wennlöf Björn , Johansson Inger , Lönnberg Lena , Arkkukangas Marina , Pellas Johnny , Damberg Mattias
Published: October 2024

Background

Depression is common in older adults and is related to reduced quality of life and functional ability as well as increased mortality and morbidity. Current guidelines recommend psychological treatments for the treatment of depression in adults. Studies show that about 30% of older adults with depression in Sweden receive pharmacological treatment and about 3% receive psychological treatment. However, a majority receive no treatment at all. There is a need for effective and scalable psychological treatment options for older adults with depression in primary care. Behavioural activation is an extensively evaluated, effective, and relatively simple treatment for depression that can be delivered by health care professionals without comprehensive training in psychological treatment.

Methods

We will conduct a randomised controlled 2-armed parallel group multicentre trial comparing treatment as usual in primary care to a five-session telephone-delivered behavioural activation treatment as add on to treatment as usual. The current trial is open labelled. In all, 250 older adults (≥ 65 years) with depression will be recruited from primary healthcare centres in three Swedish regions. The primary outcome is depressive symptoms measured with the Montgomery Åsberg Depression Rating Scale – Self rating version (MADRS-S) after treatment and at 3- and 6-month follow-up. Secondary outcomes include depression diagnoses, activity level (self-rated and measured with accelerometer), and self-rated anxiety, daily functioning, quality of life, self-efficacy, and loneliness.

Discussion

There is a need for fully powered studies of brief behavioural activation for older adults with depression delivered by telephone in a primary care context. This study has the potential to improve first-line treatment of depression in older adults in primary care, consequently reducing morbidity and mortality within this population. Increasing the availability and accessibility to effective psychological treatment for depression in older adults is needed to meet future demographic changes.

Trial registration

ClinicalTrials.gov: NCT06284889. Registered February 28, 2024.
Synergistic inhibition effect of diolefinic dye and silver nanoparticles for carbon steel corrosion in hydrochloric acid solution
Authors: El-Nahass Marwa N. , Fayed Tarek A. , El-Gamil Mohammed M. , Fouda Abd El-Aziz S.
Published: October 2024

The current work looks at the inhibitory effects of a diolefinic dye, namely 1,4-bis((E)-2-(3-methyl-2,3-dihydrobenzo[d]thiazol-2-yl) vinyl) benzene iodide salt, in relation to CS corrosion mitigation in hydrochloric acid (HCl) environment. This study uses a variety of experimental methodologies, including weight loss (WL) analysis, electrochemical tests, and theoretical considerations. The synergistic effect of diolefinic dye and AgNPs on the corrosion inhibition of CS in 1 M HCl was investigated. The inhibition efficiency (IE) displays a notable enhancement as the concentration of the dye is elevated and as the temperature raises the IE increases. The diolefinic dye exhibited % IE of 83% even at low concentration (1 × 10–4 M) whereas 90% in the presence of (2.26 × 10–10) AgNPs. Tafel graphs demonstrate that the dye follows a mixed type inhibitor. The adsorption of the dye on CS surface follows Langmuir model. Moreover, the influence of temperature and the activation parameters disclose that diolefinic dye is chemisorbed on the CS surface. The synergistic coefficient of the diolefinic dye and AgNPs under various concentration conditions was greater than unity. The surface morphology of CS sheets was confirmed by scanning electron microscopy (SEM) and energy dispersive X-ray analysis (EDX). Density Functional Theory (DFT) calculations provide theoretical support for the inhibitory effects of the examined dye. Notably, there is a high agreement between the findings of practical studies and theoretical expectations.
Elucidating Thermothielavioides terrestris secretome changes for improved saccharification of mild steam-pretreated spruce
Authors: Caputo Fabio , Siaperas Romanos , Dias Camila , Nikolaivits Efstratios , Olsson Lisbeth
Published: October 2024

Background

The efficient use of softwood in biorefineries is hampered by its recalcitrance to enzymatic saccharification. In the present study, the fungus Thermothielavioides terrestris LPH172 was cultivated on three steam-pretreated spruce materials (STEX180°C/auto, STEX210°C/auto, and STEX210°C/H2SO4), characterized by different hemicellulose content and structure, as well as on untreated biomass. The aim of the study was to map substrate-induced changes in the secretome of T. terrestris grown on differently treated spruce materials and to evaluate the hydrolytic efficiency of the secretome as supplement for a commercial enzyme mixture.

Results

The cultivation of T. terrestris was monitored by endo-cellulase, endo-xylanase, endo-mannanase, laccase, and peroxidase activity measurements. Proteomic analysis was performed on the secretomes induced by the spruce materials to map the differences in enzyme production. Growth of T. terrestris on STEX180°C/auto and STEX210°C/auto induced higher expression level of mannanases and mannosidases of the GH5_7 CAZy family compared to cultivation on the other materials. Cultivation on untreated biomass led to overexpression of GH47, GH76, and several hemicellulose debranching enzymes compared to the cultivation on the pretreated materials. T. terrestris grown on untreated, STEX180°C/auto and STEX210°C/auto induced three arabinofuranosidases of the GH43 and GH62 families; while growth on STEX210°C/H2SO4 induced a GH51 arabinofuranosidase and a GH115 glucuronidase. All secretomes contained five lytic polysaccharide monooxygenases of the AA9 family. Supplementation of Celluclast® + Novozym188 with the secretome obtained by growing the fungus grown on STEX180°C/auto achieved a twofold higher release of mannose from spruce steam-pretreated with acetic acid as catalyst, compared to the commercial enzyme cocktail alone.

Conclusions

Minor changes in the structure and composition of spruce affect the composition of fungal secretomes, with differences in some classes explaining an increased hydrolytic efficiency. As demonstrated here, saccharification of spruce biomass with commercial enzyme cocktails can be further enhanced by supplementation with tailor-made secretomes.
Neurobartonelloses: emerging from obscurity!
Authors: Bush Janice C. , Robveille Cynthia , Maggi Ricardo G. , Breitschwerdt Edward B.
Published: October 2024

Background

Bartonella species are fastidious, intracellular bacteria responsible for an expanding array of human pathologies. Most are considered to be transmitted by direct inoculation with infected bodily fluids from a mammalian reservoir species or vector-transmitted through a variety of arthropod species and their excrement. However, there are mounting reports of infection in the absence of documented animal or vector contact. A variety of Bartonella species have been documented in conditions affecting both the peripheral and central nervous systems. More common conditions, including neuroretinitis, are often associated with Bartonella henselae. However, Bartonella quintana, the agent of trench fever, as well as emerging pathogens related to rodent reservoir species, B. grahamii and B. elizabethae, have also been documented. Encephalitis and encephalopathy, also most often associated with B. henselae, have been reported with B. quintana, B. washoensis (ground squirrels) and B. vinsonii subsp. vinsonii (voles) infections. Bartonella infections have also been associated with peripheral neuropathies, such as cranial nerve paresis and neuropathic pain, including infection with less commonly encountered species such as Bartonella koehlerae. Recently, molecular diagnostic testing revealed that DNA from Bartonella spp. was found to be more prevalent in blood of patients with neuropsychiatric disorders such as schizophrenia and psychoses compared to healthy controls.

Methods

A systematic literature search was conducted on PubMed, Google Scholar and Web of Science. Search terms included Bartonella and specific neurological conditions and focused on peer-reviewed case reports published after 2012 pursuant to a prior review, with limited exceptions for conditions not previously covered. Published diagnostic testing, serology, molecular testing or pathology, were necessary for inclusion, except for one case which had clinical and epidemiological evidence consistent with diagnosis along with follow-up.

Results

Neurobartonelloses included neuralgic amyotrophy, complex regional pain syndrome, chronic inflammatory demyelinating polyneuropathy, cranial nerve paralysis, Guillain-Barré syndrome, peripheral vasculitic polyneuropathy, acute transverse myelopathy, neuroretinitis, encephalitis/encephalopathy, cerebral vasculitis/aneurysm and neuropsychiatric conditions.

Conclusions

The breadth of reported symptoms and clinical syndromes associated with an increasing number of Bartonella species continues to expand. Increased clinical awareness of this important zoonotic pathogen is necessary to advance One Health among the medical and veterinary communities.

Graphical Abstract
EFMF-pillars: 3D object detection based on enhanced features and multi-scale fusion
Authors: Zhang Wenbiao , Chen Gang , Wang Hongyan , Yang Lina , Sun Tao
Published: October 2024

As unmanned vehicle technology advances rapidly, obstacle recognition and target detection are crucial links, which directly affect the driving safety and efficiency of unmanned vehicles. In response to the inaccurate localization of small targets such as pedestrians in current object detection tasks and the problem of losing local features in the PointPillars, this paper proposes a three-dimensional object detection method based on improved PointPillars. Firstly, addressing the issue of lost spatial and local information in the PointPillars, the feature encoding part of the PointPillars is improved, and a new pillar feature enhancement extraction module, CSM-Module, is proposed. Channel encoding and spatial encoding are introduced in the new pillar feature enhancement extraction module, fully considering the spatial information and local detailed geometric information of each pillar, thereby enhancing the feature representation capability of each pillar. Secondly, based on the fusion of CSPDarknet and SENet, a new backbone network CSE-Net is designed in this paper, enabling the extraction of rich contextual semantic information and multi-scale global features, thereby enhancing the feature extraction capability. Our method achieves higher detection accuracy when validated on the KITTI dataset. Compared to the original network, the improved algorithm’s average detection accuracy is increased by 3.42%, it shows that the method is reasonable and valuable.
Cancelable palmprint: intelligent framework toward secure and privacy-aware recognition system
Authors: Ali Hanaa S. , Elhefnawy Eman I. , Abo-Zahhad Mohammed
Published: October 2024

Cancelable template protection techniques are indispensable to provide essential security and privacy privileges in biometric systems. This paper introduces an efficient cancelable palmprint recognition technique based on multi-level transformations. Gabor filtering with feature remapping is introduced for extracting highly discriminative features. Histogram remapping is applied to nonlinearly transform the downsampled Gabor features to be normally distributed. This feature-remapping step is proposed to enhance the discriminatory power and alleviate the effect of feature variability and image artifacts. Comb filtering is applied to the mapped features as a first protection layer. To provide security guarantees against linkability attacks, index-based locality-sensitive hashing (LSH) is introduced as a second protection layer to transform the comb-filtered mapped real-valued features into maximum-ranked indices. Recognition is performed in the secured domain to accelerate matching and to preserve the user’s privacy. Results show that the proposed scheme provides a large re-issuance ability, protects templates from being inverted, and demonstrates strong unlinkability across different databases. In addition, favorable verification/identification accuracy is obtained and the system satisfies the needs for real-time applications. A global measure $${D}_{\leftrightarrow }^{sys}$$

D

↔

sys

value of 0.01 is obtained, and thus, correlation attacks are mitigated. The recognition results for the legitimate scenario are 100% identification accuracy and 0% EER. For the worst case (same token scenario), the corresponding results are 99.752% and 0.31%, respectively.
Parasites revive hope for cancer therapy
Authors: Eissa Maha M. , Salem Ahmed Ebada , El Skhawy Nahla
Published: October 2024

Parasites have attained a life-long stigma of being detrimental organisms with deleterious outcomes. Yet, recently, a creditable twist was verified that can dramatically change our perception of those parasites from being a source of misery to millions of people to a useful anti-cancerous tool. Various parasites have shown promise to combat cancer in different experimental models, including colorectal, lung, and breast cancers, among others. Helminths and protozoan parasites, as well as their derivatives such as Echinococcus granulosus protein KI-1, Toxoplasma gondii GRA15II, and Trypanosoma cruzi calreticulin, have demonstrated the ability to inhibit tumor growth, angiogenesis, and metastasis. This article provides an overview of the literature on various cancer types that have shown promising responses to parasite therapy in both in vitro and in vivo animal studies. Parasites have shown anti-neoplastic activity through a variety of mechanisms that collectively contribute to their anti-cancer properties. These include immunomodulation, inhibition of angiogenesis, and molecular mimicry with cancer cells. This review article sheds light on this intriguing emerging field and emphasizes the value of collaborative multidisciplinary research projects with funding agencies and pharmaceutical companies. Thus, these strategies would secure continuous exploration of this new avenue and accelerate the advancement of cancer therapy research. Although experimental studies are heavily conducted by leaps and bounds, further steps are definitely lagging. Upgrading research from the experimental level to the clinical trial would be a wise progression toward efficient exploitation of the anti-neoplastic capabilities of parasites, ultimately saving countless lives.
An ecological dilemma, novel sustainable ideas for Istanbul examining zoning regulation for green-areas and housing
Authors: Coskun Hülya
Published: October 2024

This research delves into the evolution of Istanbul’s urban agenda, which has become increasingly intricate due to recent challenges. The city's planning paradigm has undergone a discernible shift, with heightened attention concerns like seismic resilience, sustainability, and the climate-change. The planning projections for the city have  experienced  significant changes, by the earthquakes 1999 and 2023, climate-change, and the pandemic in 2020. Although the pandemic is considered temporary, it has significant in bringing sustainable matters like living airier, greener areas, back to the city planning. In response to the latest challenges, particularly the earthquake, the city confronted an ecological dilemma, prompting proposal to relocate new housing areas to the Northern-forest. The city's northern development axis, planned a century ago by the French architect-urbanist Henri Prost, is being questioned today  end to its limits for green-areas. Based on ongoing global discussion, on academical circles on the imperative, the historic city of Istanbul grapples with the contemporary problems sustainability and seismic considerations in its future planning endeavors. This study engages in discursive analyses while concurrently offering practical recommendations to address sustainability through the development of specific zoning arrangements focuses on dual research axis urban-based, and housing-based, laws, and regulations, also housing model, and typologies as missing part of the previous research. This study principally examines this problematic via zoning practices of Istanbul in the Henri Prost period from housing areas to the housing models and typologies. Also, globally, along with the new zoning, the old zoning laws, and regulations can be bring the agenda again in the context of sustainability to promote a balanced relationship between human,  nature and sustainability goals. In conclusion, amid the recent challenges in the city, innovative suggestions for advanced zoning applications in pursuit of sustainability reveal a notable gap in the protection of green-areas, planning new settlements. Henri Prost’s master plans stand out for employing distinctive zoning techniques for each district, also offering specific housing models and typologies. Extending this methodology to green-areas presents a bridge the existing void. By presented potential case scenarios at the end of the study emphasizing the merits of integrating historical zoning practices into contemporary planning, it aims to stimulate discussions on holistic and forward-looking urban development strategies.
Synergistic effects of students’ mathematics and science motivational beliefs on achievement, and their determinants
Authors: Liou Pey-Yan , Jang Jaehong , Myoung Eunjung
Published: October 2024

Background

Students’ mathematics and science motivational beliefs are crucial determinants of their school academic achievement in math and science. The current study aimed to identify the group memberships of students’ motivational beliefs in math and science, which are closely related. Furthermore, this study probed the predictive effects of individual students’ experiences at school on forming group membership. We also tested the mean differences of the identified latent groups in math and science achievement.

Results

Using latent profile analysis modeling, we examined data from 3857 Korean eighth-grade students participating in the 2019 Trends in International Mathematics and Science Study. The theoretical rationale and supplementary statistical indices showed a five-group membership as the optimal solution. The five groups are high motivation, medium motivation, low math/high science motivation, low motivation, and very low motivation. Students’ sense of school belonging was the most crucial predictor in forming group membership, whereas perceived student bullying did not predict group membership. Finally, students in distinct motivational belief groups exhibited differences in their math and science achievements.

Conclusions

This study identified five subgroups of students based on their distinct motivational beliefs in math and science, and variations in their association with achievements. In terms of policy development and intervention, it is important to nurture students’ sense of school belonging. This study advances motivational theories in science, technology, engineering, and mathematics education, and provides practical suggestions for improving educational practices to enhance student math and science motivational beliefs.
Evaluating an early social communication intervention for young children with Down syndrome (ASCEND): results from a feasibility randomised control trial
Authors: Stojanovik Vesna , Pagnamenta Emma , Sampson Sarah , Sutton Rachel , Jones Benjamin , Joffe Victoria , Harvey Kate , Pizzo Elena , Rae Sarah
Published: October 2024

Background

This paper reports the results from a feasibility trial of an early parent-delivered social communication intervention for young children with Down syndrome (‘ASCEND’). The intervention focuses on developing children’s early social communication skills, in particular responding to shared attention. The aim was to inform the feasibility of running a full-scale trial through National Health Service (NHS) Speech and Language Therapy (SaLT) services, to assess whether the intervention is effective in improving language skills before children with Down syndrome start school.

Methods

This was a two-arm feasibility randomised controlled trial (RCT), with 1:1 randomisation stratified by trial site, comparing the intervention plus standard NHS SaLT provision with standard NHS SaLT alone. We recruited 20 children with Down syndrome aged between 11 and 36 months through 3 NHS SaLT services, 19 of whom were randomised (10 — intervention group, 9 —control group). Pre- and post-intervention and 6-month follow-up assessments included language, social communication skills, adaptive behaviour, quality of life (parents and children), parental anxiety and depression. The intervention was parent delivered with parents having access to SaLT services and the research team during the intervention. Data were collected on recruitment and retention, standard care, treatment fidelity, acceptability of the intervention by the parents and speech and language therapists, feasibility of collecting health economic measures and suitability of the primary outcome measure.

Results

The sample was sufficient for a feasibility study. The intervention (manual, support, materials) was positively received by the participating parents. Speech and language therapists also evaluated the acceptability of the intervention positively. Treatment fidelity which was measured by completion of weekly parent diaries and two adherence phone call was acceptable as 100% of the parent diaries were returned, over 90% of the parental diaries were completed correctly and 100% of adherence phone calls were completed. Retention was acceptable at 84% overall. The preliminary health economic data suggest that this intervention will be low cost. The sample size calculation suggests that 290 participants would need to be recruited, with 228 having a complete data set, for a full RCT.

Conclusion

Based on recruitment, retention and treatment fidelity, as well as the acceptability of the intervention to parents and speech and language therapists, a full-scale trial would be feasible in order to assess the effectiveness of the intervention.

Trial registration

ISRCTN13902755, registered on 25th August 2020, http://www.isrctn.com/ISRCTN13902755
Mapping refugee populations at high resolution by unlocking humanitarian administrative data
Authors: Darin Edith , Dicko Ahmadou Hamady , Galal Hisham , Jimenez Rebeca Moreno , Park Hyunju , Tatem Andrew J. , Qader Sarchil
Published: October 2024

Background

Informing local decision-making, improving service delivery and designing household surveys require having access to high-spatial resolution mapping of the targeted population. However, this detailed spatial information remains unavailable for specific population subgroups, such as refugees, a vulnerable group that would significantly benefit from focused interventions. Given the continuous increase in the number of refugees, reaching an all-time high of 35.3 million people in 2022, it is imperative to develop models that can accurately inform about their spatial locations, enabling better and more tailored assistance.

Methods

We leverage routinely collected registration data on refugees and combine it with high-resolution population maps, satellite imagery derived settlement maps and other spatial covariates to disaggregate observed refugee totals into 100-m grid cells. We suggest a deterministic grid cell allocation inside monitored refugee sites based on building count and a random-forest-derived grid cell allocation outside refugee sites based on geolocating the textual geographic information in the refugee register and on high-resolution population mapping. We test the method in Cameroon using the registration database monitored by the United Nations High Commissioner for Refugees.

Results

Using OpenStreetMap, 83% of the manually inputted information in the registration database could be geolocated. The building footprint layer derived from satellite imagery by Ecopia AI offers extensive coverage within monitored refugee sites, although manual digitization was still required in rapidly evolving settings. The high-resolution mapping of refugees on a 100-m grid basis provides an unparalleled level of spatial detail, enabling valuable geospatial insights for informed local decision-making.

Conclusions

Gathering information on forcibly displaced persons in sparse data-setting environment can quickly become very costly. Therefore, it is critical to gain the most knowledge from operational data that is frequently collected, such as registration databases. Integrating it with ancillary information derived from satellite imagery paves the way for obtaining more timely and spatially precise information to better deliver services and enhance sampling frame for target data collection exercises that further improves the quality of information on people in need.
From silos to synergy: a consortium approach to air pollution and public health in Abu Dhabi
Authors: Alahmad Barrak , Choma Ernani F. , Al-Omari Basem , Alefishat Eman , Adem Abdu , Evans John S. , Koutrakis Petros , Rajasekaran Senthil
Published: October 2024

Financial resources alone cannot guarantee effective public health policy. In Abu Dhabi, massive economic growth in the desert climate resulted in concentrated urbanization and led to challenges in the regulation of air pollution. The Environment Agency in Abu Dhabi commissioned us to scope the regulatory challenges for air pollution. Part of this project relied on the participation and involvement of key stakeholders. We found three barriers: (1) limited appreciation of uncertainties in risk estimates and discussion on the importance of considering control costs and the societal trade-offs between health and wealth inherent in such decisions, (2) compartmentalization of efforts, and (3) challenges to decide how to prioritize risks in policy agendas. We propose a consortium-like approach that brings stakeholders together and places risk, uncertainty, and tradeoffs between health and wealth at the forefront of decision-making. Expected outcomes include improved collaboration and information sharing, strategic prioritization of emission controls, and a better understanding and consideration of uncertainty to guide future public health research.
Lung ultrasound assessment of atelectasis following different anesthesia induction techniques in pediatric patients: a propensity score-matched, observational study
Authors: Camporesi Anna , Roveri Giulia , Vetrugno Luigi , Buonsenso Danilo , De Giorgis Valentina , Costanzo Sara , Pierucci Ugo Maria , Pelizzo Gloria
Published: October 2024

Introduction

Atelectasis is a well-documented complication in pediatric patients undergoing general anesthesia. Its incidence varies significantly based on surgical procedures and anesthesia techniques. Inhalation induction, commonly used to avoid the discomfort of venipuncture, is suspected to cause higher rates of respiratory complications, including atelectasis, compared to intravenous induction. This study aimed to evaluate the impact of inhalation versus intravenous anesthesia induction on atelectasis formation in pediatric patients, as assessed by lung ultrasound (LUS).

Methods

This propensity score-matched observational study was conducted at a tertiary pediatric hospital in Milan, Italy. Inclusion criteria were children ≤ 18 years undergoing elective surgery with general anesthesia. Patients were divided into inhalation and intravenous induction groups. LUS was performed before and after anesthesia induction to assess lung aeration. The primary endpoint was the global LUS score post-induction, with secondary endpoints including the incidence and distribution of atelectasis.

Results

Of the 326 patients included, 65% underwent inhalation induction and 35% intravenous induction. The global LUS score was significantly higher in the inhalation group (12.0 vs. 4.0, p < 0.001). After propensity score matching (for age, presence of upper respiratory tract infection, duration of induction, and PEEP levels at induction), average treatment effect (ATE) of mask induction was 5.89 (95% CI, 3.21–8.58; p < 0.001) point on LUS global score and a coefficient of 0.35 (OR 1.41) for atelectasis.

Discussion

Inhalation induction is associated with a higher incidence of atelectasis in pediatric patients also when we adjusted for clinically relevant covariates.

Trial registration

ClinicalTrials.gov identifier: NCT06069414.