bluuebunny/crossref_metadata_2025_split huggingface dataset:
IL-17A-mediated mitochondrial dysfunction induces pyroptosis in colorectal cancer cells and promotes CD8 + T-cell tumour infiltration
Authors: Feng Wen-Qing , Zhang Yu-Chen , Xu Zhuo-Qing , Yu Su-Yue , Huo Jian-ting , Tuersun Abudumaimaitijiang , Zheng Min-Hua , Zhao Jing-Kun , Zong Ya-Ping , Lu Ai-Guo 
Published: May 2023

Abstract
Background
Interleukin-17A (IL-17A), a proinflammatory cytokine primarily secreted by Th17 cells, γδT cells and natural killer T (NKT) cells, performs essential roles in the microenvironment of certain inflammation-related tumours by regulating cancer growth and tumour elimination proved in previous literature. In this study, the mechanism of IL-17A that induces mitochondrial dysfunction promoted pyroptosis has been explored in colorectal cancer cells.

Method
The records of 78 patients diagnosed with CRC were reviewed via the public database to evaluate clinicopathological parameters and prognosis associations of IL-17A expression. The colorectal cancer cells were treated with IL-17A, and the morphological characteristics of those cells were indicated by scanning electron microscope and transmission electron microscope. After IL-17A treatment, mitochondrial dysfunction was tested by mitochondrial membrane potential (MMP) and reactive oxygen species (ROS). The expression of pyroptosis associated proteins including cleaved caspase-4, cleaved gasdermin-D (GSDMD), IL-1β, receptor activator of nuclear NOD-like receptor family pyrin domain containing 3 (NLRP3), apoptosis-associated speck like protein containing a card (ASC), and factor-kappa B was measured through western blotting.

Results
Positive IL-17A protein expression was observed in CRC compared to the non-tumour tissue. IL-17A expression indicates a better differentiation, earlier stage, and better overall survival in CRC. IL-17A treatment could induce mitochondrial dysfunction and stimulate intracellular reactive oxygen species (ROS) production. Furthermore, IL-17A could promote pyroptosis of colorectal cancer cells and significantly increase the secretion of inflammatory factors. Nevertheless, the pyroptosis induced by IL-17A could be inhibited through the pre-treatment with Mito-TEMPO (a mitochondria-targeted superoxide dismutase mimetic with superoxide and alkyl radical scavenging properties) or Z-LEVD-FMK (caspase-4 inhibitor, fluoromethylketone). Additionally, after being treated with IL-17A, an increasing number of CD8 + T cells showed in mouse-derived allograft colon cancer models.

Conclusion
IL-17A, as a cytokine mainly secreted by γδT cells in the colorectal tumour immune microenvironment, can regulate the tumour microenvironment in multiple ways. IL-17A could induce mitochondrial dysfunction and pyroptosis through the ROS/NLRP3/caspase-4/GSDMD pathway, and promote intracellular ROS accumulation. In addition, IL-17A can promote the secretion of inflammatory factors such as IL-1β、IL-18 and immune antigens, and recruit CD8 + T cells to infiltrate tumours.

Graphical Abstract
Noninvasive prediction of node-positive breast cancer response to presurgical neoadjuvant chemotherapy therapy based on machine learning of axillary lymph node ultrasound
Authors: Zhang Hao , Cao Wen , Liu Lianjuan , Meng Zifan , Sun Ningning , Meng Yuanyuan , Fei Jie 
Published: May 2023

Abstract
Objectives
To explore an optimal model to predict the response of patients with axillary lymph node (ALN) positive breast cancer to neoadjuvant chemotherapy (NAC) with machine learning using clinical and ultrasound-based radiomic features.

Methods
In this study, 1014 patients with ALN-positive breast cancer confirmed by histological examination and received preoperative NAC in the Affiliated Hospital of Qingdao University (QUH) and Qingdao Municipal Hospital (QMH) were included. Finally, 444 participants from QUH were divided into the training cohort (n = 310) and validation cohort (n = 134) based on the date of ultrasound examination. 81 participants from QMH were used to evaluate the external generalizability of our prediction models. A total of 1032 radiomic features of each ALN ultrasound image were extracted and used to establish the prediction models. The clinical model, radiomics model, and radiomics nomogram with clinical factors (RNWCF) were built. The performance of the models was assessed with respect to discrimination and clinical usefulness.

Results
Although the radiomics model did not show better predictive efficacy than the clinical model, the RNWCF showed favorable predictive efficacy in the training cohort (AUC, 0.855; 95% CI 0.817–0.893), the validation cohort (AUC, 0.882; 95% CI 0.834–0.928), and the external test cohort (AUC, 0.858; 95% CI 0.782–0.921) compared with the clinical factor model and radiomics model.

Conclusions
The RNWCF, a noninvasive, preoperative prediction tool that incorporates a combination of clinical and radiomics features, showed favorable predictive efficacy for the response of node-positive breast cancer to NAC. Therefore, the RNWCF could serve as a potential noninvasive approach to assist personalized treatment strategies, guide ALN management, avoiding unnecessary ALND.
Physician density: will we ever close the gap?
Authors: Ferretti Fabrizio , Mariani Michele , Sarti Elena 
Published: May 2023

Abstract
Objective
Physician density is a crucial element of a well-functioning health system. Previous research has investigated factors affecting country-level physician supply. To date, however, no evidence has been provided about the patterns of convergence in physician density among countries. This paper thus tested club convergence in physician density in 204 countries worldwide from 1990 to 2019. A nonlinear time-varying factor model was adopted to identify potential clubs, wherein groups of countries tend to converge towards the same level of physician density. Our primary purpose was to document the potential long-lasting disparity in future global physician distribution.

Results
Despite physician density increasing in all regions globally from 1990 to 2019, we found no evidence in favor of the hypothesis of global convergence. Conversely, the clustering algorithm successfully identified three main patterns (i.e., three final clubs). With few exceptions, the results indicated an uneven physician distribution between the majority of North and Sub-Saharan African countries (where physician density would remain well below the estimated threshold of at least 70% of the Universal Health Coverage Services Index) and the rest of the world. These findings support the WHO's global strategy to reverse the chronic under-investment in human resources for health.
Managing acute phantom limb pain with transcutaneous electrical nerve stimulation: a case report
Authors: Limakatso Katleho 
Published: May 2023

Abstract
Introduction
Phantom limb pain is characterized by painful sensations in the amputated limb. The clinical presentation of acute phantom limb pain may differ from that of patients with chronic phantom limb pain. The variation observed implies that acute phantom limb pain may be driven by peripheral mechanisms, indicating that therapies focused on the peripheral nervous system might be successful in reducing pain.

Case presentation
A 36-year-old African male with acute phantom limb pain in the left lower limb, was treated with transcutaneous electrical nerve stimulation.

Conclusion
The assessment results of the presented case and the evidence on acute phantom limb pain mechanisms contribute to the current body of literature, indicating that acute phantom limb pain presents differently to chronic phantom limb pain. These findings emphasize the importance of testing treatments that target the peripheral mechanisms responsible for phantom limb pain in relevant individuals with acquired amputations.
Harnessing Shannon entropy-based descriptors in machine learning models to enhance the prediction accuracy of molecular properties
Authors: Guha Rajarshi , Velegol Darrell 
Published: May 2023

AbstractAccurate prediction of molecular properties is essential in the screening and development of drug molecules and other functional materials. Traditionally, property-specific molecular descriptors are used in machine learning models. This in turn requires the identification and development of target or problem-specific descriptors. Additionally, an increase in the prediction accuracy of the model is not always feasible from the standpoint of targeted descriptor usage. We explored the accuracy and generalizability issues using a framework of Shannon entropies, based on SMILES, SMARTS and/or InChiKey strings of respective molecules. Using various public databases of molecules, we showed that the accuracy of the prediction of machine learning models could be significantly enhanced simply by using Shannon entropy-based descriptors evaluated directly from SMILES. Analogous to partial pressures and total pressure of gases in a mixture, we used atom-wise fractional Shannon entropy in combination with total Shannon entropy from respective tokens of the string representation to model the molecule efficiently. The proposed descriptor was competitive in performance with standard descriptors such as Morgan fingerprints and SHED in regression models. Additionally, we found that either a hybrid descriptor set containing the Shannon entropy-based descriptors or an optimized, ensemble architecture of multilayer perceptrons and graph neural networks using the Shannon entropies was synergistic to improve the prediction accuracy. This simple approach of coupling the Shannon entropy framework to other standard descriptors and/or using it in ensemble models could find applications in boosting the performance of molecular property predictions in chemistry and material science.
Prevalence of fever of unidentified aetiology in East African adolescents and adults: a systematic review and meta-analysis
Authors: Nooh Faisal , Chernet Afona , Reither Klaus , Okuma James , Brattig Norbert W. , Utzinger Jürg , Probst-Hensch Nicole , Paris Daniel H. , Dreyfus Anou 
Published: May 2023

Abstract
Background
Primary health care settings and hospitals of low- and middle-income countries have few accessible diagnostic tools and limited laboratory and human resources capacity to identify multiple pathogens with high accuracy. In addition, there is a paucity of information on fever and its underlying aetiology in the adolescent and adult population in East Africa. The purpose of this study was to estimate the pooled prevalence of fever of unidentified aetiology among adolescent and adult febrile patients seeking health care in East Africa.

Methods
We pursued a systematic review using readily available electronic databases (i.e. PubMed, Cumulative Index to Nursing & Allied Health Literature, Scopus, Cochrane Library and Web of Science) without language restriction from inception date of the respective databases to October 31, 2022. We adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Identified studies were screened for relevance. Further analyses based on pre-set eligibility criteria were carried out for final inclusion. Two reviewers independently screened and extracted data. Risk of study bias was assessed. Meta-analysis of the prevalence of fever of unidentified aetiology was performed.

Results
We identified 14,029 articles of which 25 were eligible for inclusion, reporting data from 8538 participants. The pooled prevalence of febrile cases with unidentified aetiology was 64% [95% confidence interval (CI): 51–77%, I2 = 99.6%] among febrile adolescents and adults in East Africa. For the proportion of patients with identified aetiology, the studies documented bacterial pathogens (human bloodstream infections), bacterial zoonotic pathogens and arboviruses as the main non-malarial causative agents in East Africa.

Conclusions
Our study provides evidence that almost two-thirds of adolescent and adult febrile patients attending health care facilities in East Africa might receive inappropriate treatments due to unidentified potential life-threatening fever aetiology. Hence, we call for a comprehensive fever syndromic surveillance to broaden a consequential differential diagnosis of syndromic fever and to considerably improve the course of patients’ disease and treatment outcomes.
Mineralogical and petrographic characterization of the Cerrillo Blanco Iberian sculptures
Authors: Romero-Noguera Julio , Ruiz-Ruiz María Belén , Cultrone Giuseppe , Doménech-Carbó Teresa , Bolívar-Galiano Fernando 
Published: May 2023

Abstract
The archaeological heritage at Cerrillo Blanco (Porcuna, Spain) is made up of 27 sculptural ensembles and hundreds of fragments dated between the seventh and second centuries BC. They represent a fundamental milestone in Iberian art and culture. Despite their relevance, no scientific studies have been carried out to date in order to fully understand the materials, intentions and techniques that led to their creation. This is a study carried out on original pieces from the Archaeological Museum of Jaén using stereoscopic optical microscopy (SOM), polarised optical microscopy (POM), X-ray diffraction analysis (XRD), Fourier-transform infrared spectroscopy (FTIR), field emission scanning electron microscopy with energy dispersive x-ray analysis (FESEM-EDX) and spectrophotometry (SF). The results obtained provide new information on the material composition of this important legacy of the Iberian civilization as well as its main alteration factors.
Simulating dynamic fire regime and vegetation change in a warming Siberia
Authors: Williams Neil G. , Lucash Melissa S. , Ouellette Marc R. , Brussel Thomas , Gustafson Eric J. , Weiss Shelby A. , Sturtevant Brian R. , Schepaschenko Dmitry G. , Shvidenko Anatoly Z. 
Published: May 2023

Abstract
Background
Climate change is expected to increase fire activity across the circumboreal zone, including central Siberia. However, few studies have quantitatively assessed potential changes in fire regime characteristics, or considered possible spatial variation in the magnitude of change. Moreover, while simulations indicate that changes in climate are likely to drive major shifts in Siberian vegetation, knowledge of future forest dynamics under the joint influence of changes in climate and fire regimes remains largely theoretical. We used the forest landscape model, LANDIS-II, with PnET-Succession and the BFOLDS fire extension to simulate changes in vegetation and fire regime characteristics under four alternative climate scenarios in three 10,000-km2 study landscapes distributed across a large latitudinal gradient in lowland central Siberia. We evaluated vegetation change using the fire life history strategies adopted by forest tree species: fire resisters, fire avoiders, and fire endurers.

Results
Annual burned area, the number of fires per year, fire size, and fire intensity all increased under climate change. The relative increase in fire activity was greatest in the northernmost study landscape, leading to a reduction in the difference in fire rotation period between study landscapes. Although the number of fires per year increased progressively with the magnitude of climate change, mean fire size peaked under mild or moderate climate warming in each of our study landscapes, suggesting that fuel limitations and past fire perimeters will feed back to reduce individual fire extent under extreme warming, relative to less extreme warming scenarios. In the Southern and Mid-taiga landscapes, we observed a major shift from fire resister-dominated forests to forests dominated by broadleaved deciduous fire endurers (Betula and Populus genera) under moderate and extreme climate warming scenarios, likely associated with the substantial increase in fire activity. These changes were accompanied by a major decrease in average cohort age and total vegetation biomass across the simulation landscapes.

Conclusions
Our results imply that climate change will greatly increase fire activity and reduce spatial heterogeneity in fire regime characteristics across central Siberia. Potential ecological consequences include a widespread shift toward forests dominated by broadleaved deciduous species that employ a fire endurer strategy to persist in an increasingly fire-prone environment.
Evaluation of cognitive functions in a group of Egyptian recovered COVID-19 patients
Authors: Allam Hadir E. E. M. , Omar Abd El-Nasser M. , Sayed Maha M. , El-Batrawy Amira N. , Mohsen Nesreen M. , Khalifa Abdel Gawad , Ghobrial Fiby F. 
Published: May 2023

Abstract
Background
Numerous investigations have found that cognitive deficits in COVID-19 survivors may be reversible; hence, early detection is essential. These cognitive deficiencies should be targeted with scaled cognitive therapies that can be widely used even in patients’ homes, supporting the best possible cognitive and functional outcomes. In the meanwhile, it has been observed that COVID-19 patients may experience worry, fear, depression, and other mental health problems. Therefore, subjective cognitive difficulties may be due to emotional discomfort. As a result, these data highlight the significance of early diagnosis of anxiety symptoms and depression symptoms in COVID-19 patients in order to prevent subsequent cognitive problems. All patients were selected in accordance with the case definition and used the following tools after 1, 3, and 6 months after being cleared of COVID-19 infection: developed questionnaire for both clinical and demographic data, the Wisconsin Card Sorting Test, the Wechsler Memory Scale-Revised, the Wechsler Adult Intelligence Scale, the Hamilton Anxiety Rating Scale, the Beck Depression Inventory, and Structured Clinical Interview for DSM-IV disorders.

Results
Fifty patients were participated in this study from both gender, different levels of education, and the major group was nonsmokers (82%). A total of 88% of participants had confirmed COVID-19, and 12% had contact with them. Wisconsin Card Sorting Test for preservative parameters revealed that the 2nd follow-up showed nonsignificant comparison to the 1st follow-up, while the 3rd showed highly significant comparison to the 1st follow-up. While for non-preservative errors, the 2nd follow-up showed significant comparison to the 1st, while the 3rd showed highly significant comparison to the 1st follow-up. Conceptual level response parameters showed that both the 2nd and the 3rd follow-ups showed nonsignificant comparison to the 1st follow-up. There was no significant correlation between Hamilton Anxiety Scale (HAS) and any parameter of Wisconsin Card Sorting Test or any parameter of Wechsler Memory Scale-Revised.

Conclusions
While there was negative impact of COVID-19 infection on cognitive functions in Egyptian recovered COVID-19 patients which improves gradually by time, there was nonsignificant correlations between anxiety symptoms, depressive symptoms, and Wisconsin Card Sorting Test as well as Wechsler Memory Scale-Revised parameters in tested individuals through three consecutive follow-ups of COVID-19 in Egypt. Further testing using other scales or larger sample is mandatory to elucidate further potential impact of COVID-19 on cognitive functions of recovered patients.
A service evaluation of phased- and stepped-care psychological support for health and social care workers during the COVID-19 pandemic
Authors: Cole Charles L. , Barry Charlotte , Saunders Rob , Billings Jo , Stott Joshua , Buckman Joshua E. J. , Greene Talya , Cirkovik Mirko , Pilling Stephen , Wheatley Jon 
Published: May 2023

BackgroundThe COVID-19 pandemic has disproportionally affected the mental health of health and social care workers (HSCWs), with many experiencing symptoms of depression, anxiety and post-traumatic stress disorder. Psychological interventions have been offered via mental health services and in-house psychology teams, but their effectiveness in this context is not well documented.AimsTo evaluate a stepped-care psychological support pathway for HSCWs from Homerton Healthcare Foundation Trust in London, which offered psychological first aid, evidence-based psychological therapies and group-based well-being workshops.MethodThe service evaluation used a pre–post approach to assess depression, anxiety, functional impairment and post-traumatic stress disorder symptom change for those who attended sessions of psychological first aid, low- or high-intensity cognitive–behavioural therapy or a combination of these. In addition, the acceptability of the psychological first aid sessions and well-being workshops was explored via feedback data.ResultsAcross all interventions, statistically significant reductions of depression (d= 1.33), anxiety (d= 1.37) and functional impairment (d= 0.93) were observed, and these reductions were equivalent between the interventions, as well as the demographic and occupational differences between the HSCWs (ethnicity, staff group and redeployment status). HSCWs were highly satisfied with the psychological first aid and well-being workshops.ConclusionsThe evaluation supports the utility of evidence-based interventions delivered as part of a stepped-care pathway for HSCWs with common mental health problems in the context of the COVID-19 pandemic. Given the novel integration of psychological first aid within the stepped-care model as a step one intervention, replication and further testing in larger-scale studies is warranted.
Robben Island and the Culture of Reconstruction in South Africa
Authors: Skotnes Andor 
Published: May 2023

AbstractOn the fifth anniversary of Nelson Mandela’s release after twenty-seven years in political prison, and nine months after his election as South Africa’s president, his new government and its allies held an important event. On February 11, 1995, 1,200 ex–political prisoners traveled to Cape Town for the Robben Island Reunion. The first day was held at the former maximum-security prison, the site of subjugation and struggle for many of the participants. The day culminated with a creative happening, as the former prisoners enthusiastically smashed rocks in the Limestone Quarry, negating this once oppressive labor and transforming it into an affirmation of freedom. On ensuing days, the reunion celebrated and demanded support for the ex-prisoners and set Robben Island on the path to becoming the country’s first national peoples’ museum and UNESCO World Heritage Site. Drawing on oral histories and photographs, this article examines the museum’s process of becoming and its subsequent trajectory in the continuing struggle for liberation.