bluuebunny/crossref_metadata_2025_split huggingface dataset:
Ferroelectric polarization reversals in C2N/α-In2Se3 van der Waals heterostructures: a conversion from the traditional type-II to S-scheme
Authors: Zhong Yongle 
Published: September 2023

Introduction: Ferroelectric substances, characterized by inherent spontaneous polarization, can boost photocatalytic efficiency by facilitating the separation of photogenerated carriers. However, conventional photocatalysts with perovskite-class ferroelectricity are generally constrained by their 3D arrangement, leading to less accessible active sites for catalysis and a smaller specific surface area compared to a 2D layout.Methods: In my research, I developed a 2D ferroelectric heterostructure consisting of C2N/α-In2Se3. I performed first-principle calculations on the 2D C2N/α-In2Se3 heterostructure, specifically varying the out-of-plane ferroelectric polarization directions. I primarily focused on C2N/α-In2Se3 (I) and C2N/α-In2Se3 (II) heterostructures.Results: My findings revealed that reversing the ferroelectric polarization of the 2D α-In2Se3 layer in the heterostructures led to a transition from the conventional type-II [C2N/α-In2Se3 (I)] to an S-scheme [C2N/α-In2Se3 (II)]. The S-scheme heterostructure [C2N/α-In2Se3 (II)] demonstrated a high optical absorption rate of 17% in visible light, marking it as a promising photocatalytic material.Discussion: This research underscores the significance of ferroelectric polarization in facilitating charge transfer within heterogeneous structures. It provides a theoretical perspective for developing enhanced S-scheme photocatalysts, highlighting the potential of 2D ferroelectric heterostructures in photocatalytic applications.
A U-shaped association between the triglyceride to high-density lipoprotein cholesterol ratio and the risk of incident type 2 diabetes mellitus in Japanese men with normal glycemic levels: a population-based longitudinal cohort study
Authors: Song Bei , Wang Kun , Lu Weilin , Zhao Xiaofang , Yao Tianci , Liu Ting , Gao Guangyu , Fan Haohui , Liu Chengyun 
Published: September 2023

BackgroundSeveral studies have verified that a high baseline TG/HDL-C ratio is a risk factor for incident type 2 diabetes mellitus (T2DM). However, for low baseline TG/HDL-C levels, the findings were inconsistent with ours. In addition, the association between baseline TG/HDL-C ratio and the risk of incident T2DM in Japanese men with normal glycemic levels is unclear. As a result, our study further investigated the relationship between baseline TG/HDL-C and the risk of incident T2DM in Japanese men with normal glycemic levels.MethodsThis was a secondary longitudinal cohort study. We selected 7,684 male participants between 2004 and 2015 from the NAGALA database. A standardized Cox regression model and two piecewise Cox regression models were used to explore the relationship between the baseline high-density lipoprotein cholesterol ratio (TG/HDL-C) and incident T2DM.ResultsDuring a median follow-up of 2,282 days, 162 men developed incident T2DM. In the adjusted model, the baseline TG/HDL-C ratio was strongly associated with the risk of incident T2DM, and no dose-dependent positive association was observed between the baseline TG/HDL-C ratio and incidence of T2DM throughout the baseline TG/HDL-C quartiles. Two-piecewise linear regression analysis showed a U-shaped association between baseline TG/HDL-C ratio and incidence of incident T2DM. A baseline TG/HDL-C ratio below 1.188 was negatively associated with incident T2DM (H.R. = 0.105, 95% CI = 0.025, 0.451; P = 0.002). In contrast, a baseline TG/HDL-C ratio &gt;1.188 was positively associated with incident T2DM (H.R. = 1.248, 95% CI = 1.113, 1.399; P&lt;0.001). The best TG/HDL-C threshold for predicting incident T2DM was 1.8115 (area under the curve, 0.6837).ConclusionA U-shaped relationship between baseline TG/HDL-C ratio and incident T2DM in Japanese men with normal glycemic levels was found.
Significant association between high neutrophil-lymphocyte ratio and poor prognosis in patients with hepatocellular carcinoma: a systematic review and meta-analysis
Authors: Xu Chunhua , Wu Fenfang , Du Lailing , Dong Yeping , Lin Shan 
Published: September 2023

ObjectiveWhether neutrophil-lymphocyte ratio (NLR) is an applicative predictor of poor prognosis in patients with hepatocellular carcinoma (HCC) remains controversial. In response to the current conflicting data, this meta-analysis was conducted to gain a comprehensive and systematic understanding of prognostic value of NLR in HCC.MethodsSeveral English databases, including PubMed, EMBASE, and the Cochrane Library, with an update date of February 25, 2023, were systematically searched. We set the inclusion criteria to include randomized controlled trial (RCT) studies that reported the prognostic value of serum NLR levels in patients with HCC receiving treatment. Both the combined ratio (OR) and the diagnosis ratio (DOR) were used to assess the prognostic performance of NLR. Additionally, we completed the risk of bias assessment by Cochrane Risk of Bias Assessment Tool.ResultsThis meta-analysis ultimately included 16 studies with a total of 4654 patients with HCC. The results showed that high baseline NLR was significantly associated with poor prognosis or recurrence of HCC. The sensitivity of 0.67 (95% confidence interval [CI]. 0.59-0.73); specificity of 0.723 (95% CI: 0.64-0.78) and DOR of 5.0 (95% CI: 4.0-7.0) were pooled estimated from patient-based analyses. Subsequently, the combined positive likelihood ratio (PLR) and negative likelihood ratio (NLHR) were calculated with the results of 2.4 (95% CI: 1.9-3.0) and 0.46 (95% CI: 0.39-0.56), respectively. In addition, area under the curve (AUC) of the summary receiver operating characteristic (SROC) reflecting prognostic accuracy was calculated to be 0.75 (95% CI: 0.71-0.78). The results of subgroup analysis suggested that high NLR was an effective predictive factor of poor prognosis in HCC in mainland China as well as in the northern region.ConclusionOur findings suggest that high baseline NLR is an excellent predictor of poor prognosis or relapse in patients with HCC, especially those from high-incidence East Asian populations.Systematic review registrationhttps://www.crd.york.ac.uk/prospero/#recordDetails, identifier CRD42023440640.
C-type lectin receptor expression is a hallmark of neutrophils infiltrating the skin in epidermolysis bullosa acquisita
Authors: Guerrero-Juarez Christian F. , Schilf Paul , Li Jing , Zappia Maria Paula , Bao Lei , Patel Payal M. , Gieseler-Tillmann Jenny , Murthy Sripriya , Cole Connor , Sverdlov Maria , Frolov Maxim V. , Hashimoto Takashi , Ishii Norito , Rülicke Thomas , Bieber Katja , Ludwig Ralf J. , Sadik Christian D. , Amber Kyle T. 
Published: September 2023

IntroductionInflammatory epidermolysis bullosa acquisita (EBA) is characterized by a neutrophilic response to anti-type VII collagen (COL7) antibodies resulting in the development of skin inflammation and blistering. The antibody transfer model of EBA closely mirrors this EBA phenotype.MethodsTo better understand the changes induced in neutrophils upon recruitment from peripheral blood into lesional skin in EBA, we performed single-cell RNA-sequencing of whole blood and skin dissociate to capture minimally perturbed neutrophils and characterize their transcriptome.ResultsThrough this approach, we identified clear distinctions between circulating activated neutrophils and intradermal neutrophils. Most strikingly, the gene expression of multiple C-type lectin receptors, which have previously been reported to orchestrate host defense against fungi and select bacteria, were markedly dysregulated. After confirming the upregulation of Clec4n, Clec4d, and Clec4e in experimental EBA as well as in lesional skin from patients with inflammatory EBA, we performed functional studies in globally deficient Clec4e−/− and Clec4d−/− mice as well as in neutrophil-specific Clec4n−/− mice. Deficiency in these genes did not reduce disease in the EBA model.DiscussionCollectively, our results suggest that while the upregulation of Clec4n, Clec4d, and Clec4e is a hallmark of activated dermal neutrophil populations, their individual contribution to the pathogenesis of EBA is dispensable.
Isolation and in vitro screening of the probiotic potential of microorganisms from fermented food products
Authors: Ntiantiasi Nikoleta , Lianou Alexandra 
Published: September 2023

IntroductionSeveral human health benefits have been ascribed to probiotics, while traditional fermented foods have been acknowledged as rather important sources of these microorganisms. The objective of this study was the isolation of microorganisms from fermented food products of both animal and plant origin and the evaluation of their probiotic potential.MethodsMicrobial isolation was performed from milk kefir and table olives, while an olive mill waste sample also was analyzed given its anticipated association with the autochthonous microbiota of olive drupes. Among the 16 macroscopically distinct recovered microorganisms, 14 microbial isolates were identified as presumptive lactic acid bacteria (LAB), whereas two isolates corresponded to yeasts. The microbial isolates exhibiting a reproducibly robust growth profile in appropriate culture broth media (11 out of the 16 isolates) were assessed for their probiotic potential based on a set of in vitro assays: resistance to low pH; autoaggregation; biofilm formation; antioxidant activity; and safety assessment through evaluation of hemolytic activity.Results and discussionBased on the collective evaluation of the results of the abovementioned assays, five presumptive LAB as well as the two yeast isolates were identified as exhibiting desirable in vitro probiotic traits. Hence, these microbial isolates could be regarded as good candidates for inclusion in further studies aiming, ultimately, at their potential utilization in novel functional food products.
Intermittent shading can moderate coral bleaching on shallow reefs
Authors: Butcherine Peter , Tagliafico Alejandro , Ellis Sophia L. , Kelaher Brendan P. , Hendrickson Conor , Harrison Daniel 
Published: September 2023

The health of coral reefs is declining from the effects of human activity and climate change. Mass coral bleaching is often triggered by elevated water temperature and excessive solar irradiance. Shading can reduce coral bleaching risk. Shading-based management interventions, such as whole-of-reef marine fogging, have been proposed as a conservation tool for periods when coral undergoes excessive thermal stress. This study examined the effect of intermittent shade (30% for 0, 4, or 24 h) on two coral species, Duncanopsammia axifuga and Turbinaria reniformis, held at either 26.4°C or 32.4°C for 18 days. Coral fragments were assessed for bleaching (relative mean intensity of grey, chlorophyll a, and symbiont density), photochemistry (PAM fluorometry), and antioxidant biomarkers (SOD and CAT). Shading responses were species-specific, with T. reniformis more responsive to shading than D. axifuga. Thirty per cent shading delayed bleaching up to three-degree heat weeks (DHW), and 24 h shade was more protective than 4 h shade. Shading suppressed catalase activity in T. reniformis. Overall, our results suggest that intermittently shading corals for 4 h can moderate light stress and slow bleaching in some corals and could improve the efficiency of active solar radiation management in marine ecosystems.
Impact of connected conduit on pumping-induced seawater intrusion in a coastal karst aquifer
Authors: Wu Xiujie , Xu Zhongyuan , Xu Zexuan , Hu Bill X. 
Published: September 2023

IntroductionCoastal karst aquifers face the risk of seawater intrusion due to groundwater development. Based on the conceptualization of Woodville Karst Plain (WKP), this study investigates the effect of karst conduit and pumping conditions on the aquifer vulnerability and pumping security.MethodsAccording to the purposes of this study, two cases are considered: one with conduit and one without. Salinization levels are compared between two cases, considering pumping rates ranging from 50 to 200 m3/day and various pumping locations throughout the on-shore region.ResultsThe results reveal that the aquifer with conduit is more susceptible to seawater intrusion at low pumping rates, whereas both scenarios experience significant salinization at high pumping rates. Specifically, in the non-conduit case, contamination is most prevalent when wells are located in the middle of the aquifer, while in the conduit case, pumping from inland areas poses high vulnerability. Moreover, conduit case and non-conduit case display different regions for pumping clean water. At low pumping rates, both cases show saline water being pumped from wells near the shore, and clean water is obtained from inland wells. At high pumping rates, the non-conduit case allows for clean water extraction from wells situated further inland, while in the conduit case, no wells within the entire aquifer are deemed safe.DiscussionThe analysis and findings of this study offer valuable insights for the management of groundwater in coastal karst aquifers, encompassing vulnerability assessment, selection of pumping locations, and determination of pumping rates.
Implications of immersive technologies in healthcare sector and its built environment
Authors: Yang Eunsil 
Published: September 2023

ObjectivesThis research focuses on how built environment experts can contribute to the MXR-enabled digital innovation as part of the multidisciplinary team effort to ensure post-pandemic resilience in healthcare built environment. The goal of this research is to help healthcare providers, built environment experts, and policy makers respectively: (1) Advocate the benefits of MXR for innovating health and social care; (2) Spark debate across networks of expertise to create health-promoting environment; and (3) Understand the overriding priorities in making effective pathways to the implementation of MXR.MethodsTo highlight the novelty of this research, the study relies on two qualitative methodologies: exploratory literature review and semi-structured interviews. Based on the evaluation of prior works and cross-national case studies, hypotheses are formulated from three arenas: (1) Cross-sectional Initiatives for Post-pandemic Resilience; (2) Interoperability and Usability of Next-gen Medicines; and (3) Metaverse and New Forms of Value in Future Healthcare Ecosystems. To verify those hypotheses, empirical findings are derived from in-depth interviews with nine key informants.ResultsThe main findings are summarized under the following three themes: (1) Synergism between Architecture and Technology; (2) Patient Empowerment and Staff Support; and (3) Scalable Health and Wellbeing in Non-hospital and Therapeutic Settings. Firstly, both built environment and healthcare sectors can benefit from the various capabilities of MXR through cross-sectional initiatives, evidence-based practices, and participatory approaches. Secondly, a confluence of knowledge and methods of HCI and HBI can increase the interoperability and usability of MXR for the patient-centered and value-based healthcare models. Thirdly, the MXR-enabled technological regime will largely affect the new forms of value in healthcare premises by fostering more decentralized, preventive, and therapeutic characteristics in the future healthcare ecosystems.ConclusionWhether it's virtual or physical, our healthcare systems have placed great emphasis on the rigor of evidence-based approach linking health outcome to a clinical environment. Henceforth, built environment experts should seek closer ties with the MXR ecosystems for the co-production of scalable health and wellbeing in non-hospital and therapeutic settings. Ultimately, this is to improve resource efficiency in the healthcare sector while considering the transition of health resources towards in silico status by increasing the implementation of MXR.
Feasibility, usability, and acceptance of “Brain-IT”—A newly developed exergame-based training concept for the secondary prevention of mild neurocognitive disorder: a pilot randomized controlled trial
Authors: Manser Patrick , Poikonen Hanna , de Bruin Eling D. 
Published: September 2023

BackgroundExergames provide a promising new approach to implement simultaneous motor–cognitive training, which may support preventing the decline in cognitive functioning in older adults who have a mild neurocognitive disorder (mNCD).ObjectivesTo evaluate feasibility, system usability, and acceptance of “Brain-IT”, a newly developed training concept combining exergame-based motor-cognitive training and heart rate variability (HRV) guided resonance breathing for the secondary prevention of mNCD.MethodsA pilot randomized controlled trial (RCT) with an allocation ratio of 2:1 (i.e., intervention:control) was conducted. The control group proceeded with usual care. The intervention group performed a 12-week training according to the “Brain-IT” training concept implemented with the “Senso Flex” (Dividat AG) exergaming system in addition to usual care. Feasibility and usability outcomes were analyzed using descriptive statistics. User acceptance was analyzed qualitatively and using Friedman analysis of variance (ANOVA), as well as Wilcoxon signed-rank tests.ResultsEighteen participants (77.3 ± 9.8 years; 44.4% females) were included. On average, we recruited 2.2 participants per month, and 35.3% of the individuals contacted were included. The intervention group had an attrition rate of 20% and mean adherence and compliance rates of 85.0 and 84.1%, respectively. The mean system usability score, measured with the system usability scale, was 71.7. High levels of exergame enjoyment, an increase in exergame enjoyment, and internalization of training motivation with large effect sizes (p = 0.03, r = 0.75 and p = 0.03, r = 0.74, respectively), as well as acceptable perceived usefulness, were observed. Preliminary data on the effects of the “Brain-IT” training are promising.ConclusionThe feasibility and usability of the “Brain-IT” training are acceptable. However, frequent occurrences of technical problems and difficulties in using the exergame training system were identified as barriers to performing the “Brain-IT” training. To optimize feasibility, either improvements or alternative solutions are required in the hardware and software of the exergame used to implement the “Brain-IT” training. The “Brain-IT” training itself was well-accepted by older adults who have mNCD. Therefore, the effectiveness of the “Brain-IT” training concept should be investigated in future studies.Trial registrationclinicaltrials.gov/ct2/show/NCT04996654.
Directly reprogrammed fragile X syndrome dorsal forebrain precursor cells generate cortical neurons exhibiting impaired neuronal maturation
Authors: Edwards Nicole , Combrinck Catharina , McCaughey-Chapman Amy , Connor Bronwen 
Published: September 2023

IntroductionThe neurodevelopmental disorder fragile X syndrome (FXS) is the most common monogenic cause of intellectual disability associated with autism spectrum disorder. Inaccessibility to developing human brain cells is a major barrier to studying FXS. Direct-to-neural precursor reprogramming provides a unique platform to investigate the developmental profile of FXS-associated phenotypes throughout neural precursor and neuron generation, at a temporal resolution not afforded by post-mortem tissue and in a patient-specific context not represented in rodent models. Direct reprogramming also circumvents the protracted culture times and low efficiency of current induced pluripotent stem cell strategies.MethodsWe have developed a chemically modified mRNA (cmRNA) -based direct reprogramming protocol to generate dorsal forebrain precursors (hiDFPs) from FXS patient-derived fibroblasts, with subsequent differentiation to glutamatergic cortical neurons and astrocytes.ResultsWe observed differential expression of mature neuronal markers suggesting impaired neuronal development and maturation in FXS- hiDFP-derived neurons compared to controls. FXS- hiDFP-derived cortical neurons exhibited dendritic growth and arborization deficits characterized by reduced neurite length and branching consistent with impaired neuronal maturation. Furthermore, FXS- hiDFP-derived neurons exhibited a significant decrease in the density of pre- and post- synaptic proteins and reduced glutamate-induced calcium activity, suggesting impaired excitatory synapse development and functional maturation. We also observed a reduced yield of FXS- hiDFP-derived neurons with a significant increase in FXS-affected astrocytes.DiscussionThis study represents the first reported derivation of FXS-affected cortical neurons following direct reprogramming of patient fibroblasts to dorsal forebrain precursors and subsequently neurons that recapitulate the key molecular hallmarks of FXS as it occurs in human tissue. We propose that direct to hiDFP reprogramming provides a unique platform for further study into the pathogenesis of FXS as well as the identification and screening of new drug targets for the treatment of FXS.
Cerebral artery signal intensity gradient from Time-of-Flight Magnetic Resonance Angiography and clinical outcome in lenticulostriate infarction: a retrospective cohort study
Authors: Lee Chan-Hyuk , Chung Jong-Won , Guk Hyung Seok , Hong Ji Man , Rosenson Robert S. , Jeong Seul-Ki 
Published: September 2023

PurposeLenticulostriate infarction requires further research of arterial hemodynamic factors, as the disease is diagnosed in the absence of major arterial stenosis or cardioembolism.MethodsIn this multicenter retrospective cohort study, we included patients who were hospitalized for lenticulostriate infarction from January 2015 to March 2021 at three stroke centers in South Korea. We obtained hemodynamic information on cerebral arteries using signal intensity gradient (SIG), an in-vivo approximated wall shear stress (WSS) derived from Time-of-Flight Magnetic Resonance Angiography (TOF-MRA). A favorable outcome was defined as a modified Rankin Scale of 0 to 2 at hospital discharge.ResultsA total of 294 patients were included, of whom 146 (49.7%) had an unfavorable outcome. The unfavorable outcome group showed significantly lower SIG in both middle cerebral arteries (MCAs) than the favorable group (5.2 ± 1.2 SI/mm vs. 5.9 ± 1.2, p &lt; 0.001), and similar findings were observed in other cerebral arteries. The SIGs in both MCAs were independently associated with favorable outcome, with an odds ratio of 1.42 (95% confidence interval, 1.11–1.80; p = 0.005) for the right MCA and 1.49 (95% CI, 1.15–1.93; p = 0.003) for the left MCA, after adjusting for potential confounders. Similar findings were observed in other cerebral artery SIGs.ConclusionCerebral artery SIG from TOF-MRA was significantly associated with short-term functional outcomes in patients with lenticulostriate infarction. Further studies are needed to investigate the temporal relationships of SIG in patients with cerebral infarction.