bluuebunny/crossref_metadata_2025_split huggingface dataset:
Immunotheranostic microbubbles (iMBs) - a modular platform for dendritic cell vaccine delivery applied to breast cancer immunotherapy
Authors: Jugniot Natacha , Dahl Jeremy J. , Paulmurugan Ramasamy 
Published: October 2022

Abstract
Background
Therapeutic strategies engaging the immune system against malignant cells have revolutionized the field of oncology. Proficiency of dendritic cells (DCs) for antigen presentation and immune response has spurred interest on DC-based vaccines for anti-cancer therapy. However, despite favorable safety profiles in patients, current DC-vaccines have not yet presented significant outcome due to technical barriers in active DC delivery, tumor progression, and immune dysfunction. To maximize the therapeutic response, we present here a unique cell-free DC-based vaccine capable of lymphoid organ targeting and eliciting T-cell-mediated anti-tumor effect.

Methods
We developed this novel immunotheranostic platform using plasma membranes derived from activated DCs incorporated into ultrasound contrast microbubbles (MBs), thereby offering real-time visualization of MBs’ trafficking and homing in vivo. Human PBMC-derived DCs were cultured ex vivo for controlled maturation and activation using cell membrane antigens from breast cancer cells. Following DC membrane isolation, immunotheranostic microbubbles, called DC-iMBs, were formed for triple negative breast cancer treatment in a mouse model harboring a human reconstituted immune system.

Results
Our results demonstrated that DC-iMBs can accumulate in lymphoid organs and induce anti-tumor immune response, which significantly reduced tumor growth via apoptosis while increasing survival length of the treated animals. The phenotypic changes in immune cell populations upon DC-iMBs delivery further confirmed the T-cell-mediated anti-tumor effect.

Conclusion
These early findings strongly support the potential of DC-iMBs as a novel immunotherapeutic cell-free vaccine for anti-cancer therapy.
Development of a co-designed behaviour change intervention aimed at healthcare professionals recruiting to clinical trials in maternity care
Authors: Hanrahan Vivienne , Lawrie Louisa , Duncan Eilidh , Biesty Linda , Gillies Katie 
Published: October 2022

Abstract
Background
The evidence on what strategies can improve recruitment to clinical trials in maternity care is lacking. As trial recruiters, maternity healthcare professionals (MHCPs) perform behaviours (e.g. talking about trials with potential participants, distributing trial information) they may not ordinarily do outside of the trial. Most trial recruitment interventions do not provide any theoretical basis for the potential effect (on behaviour) or describe if stakeholders were involved during development. The study aim was to use behavioural theory in a co-design process to develop an intervention for MHCPs tasked with approaching all eligible potential participants and inviting them to join a maternity trial and to assess the acceptability and feasibility of such an intervention.

Methods
This study applied a step-wise sequential mixed-methods approach. Key stages were informed by the Theoretical Domains Framework and Behaviour Change Techniques (BCT) Taxonomy to map the accounts of MHCPs, with regard to challenges to trial recruitment, to theoretically informed behaviour change strategies. Our recruitment intervention was co-designed during workshops with MHCPs and maternity service users. Acceptability and feasibility of our intervention was assessed using an online questionnaire based on the Theoretical Framework of Acceptability (TFA) and involved a range of trial stakeholders.

Results
Two co-design workshops, with a total of nine participants (n = 7 MHCP, n = 2 maternity service users), discussed thirteen BCTs as potential solutions. Ten BCTs, broadly covering Consequences and Reframing, progressed to intervention development. Forty-five trial stakeholders (clinical midwives, research midwives/nurses, doctors, allied health professionals and trial team members) participated in the online TFA questionnaire. The intervention was perceived effective, coherent, and not burdensome to engage with. Core areas for future refinement included Anticipated opportunity and Self-efficacy.

Conclusion
We developed a behaviour change recruitment intervention which is based on the accounts of MHCP trial recruiters and developed in a co-design process. Overall, the intervention was deemed acceptable. Future evaluation of the intervention will establish its effectiveness in enabling MHCPs to invite all eligible people to participate in a maternity care trial, and determine whether this translates into an increase in maternity trial recruitment rates.
Implantation of adipose-derived mesenchymal stem cell sheets promotes axonal regeneration and restores bladder function after spinal cord injury
Authors: Chen Jiasheng , Wang Lin , Liu Meng , Gao Guo , Zhao Weixin , Fu Qiang , Wang Ying 
Published: October 2022

Abstract
Background
Cell-based therapy using adipose-derived mesenchymal stem cells (ADSCs) is a promising treatment strategy for neurogenic bladder (NB) associated with spinal cord injury (SCI). However, therapeutic efficacy is low because of inefficient cell delivery. Cell sheets improve the efficacy of cell transplantation. Therefore, this study was conducted to investigate the therapeutic efficacy of transplanting ADSC sheets into an SCI rat model and focused on the function and pathological changes of the bladder.

Methods
ADSC sheets were prepared from adipose tissue of Sprague–Dawley (SD) rats using temperature-responsive cell culture dishes. Adult female SD rats were subjected to SCI by transection at the T10 level and administered ADSC sheets or gelatin sponge (the control group). Four and 8 weeks later, in vivo cystometrograms were obtained for voiding function assessment. Rats were sacrificed and the expression of various markers was analyzed in spinal and bladder tissues.

Results
The number of β-tubulin III-positive axons in the ADSC sheet transplantation group was higher than that in the control group. Conversely, expression of glial fibrillary acidic protein in the ADSC sheet transplantation group was lower than that in the control group. Cystometry showed impairment of the voiding function after SCI, which was improved after ADSC sheet transplantation with increased high-frequency oscillation activity. Furthermore, ADSC sheet transplantation prevented disruption of the bladder urothelium in SCI rats, thereby maintaining the intact barrier. Compared with fibrosis of the bladder wall in the control group, the ADSC sheet transplantation group had normal morphology of the bladder wall and reduced tissue fibrosis as shown by downregulation of type 1 collagen. ADSC sheet transplantation also resulted in strong upregulation of contractile smooth muscle cell (SMC) markers (α-smooth muscle actin and smoothelin) and downregulation of synthetic SMC markers (MYH10 and RBP1).

Conclusion
ADSC sheet transplantation significantly improved voiding function recovery in rats after SCI. ADSC sheet transplantation is a promising cell delivery and treatment option for NB related to SCI.
Hajek–Renyi-type inequality for $(\alpha , \beta )$-mixing sequences and its application to change-point model
Authors: Wang Wei , Wu Yi , Wang Wenqin , Zhou Kai , Chen Kan , Tao Xinran 
Published: October 2022

AbstractIn this paper, we investigate the Hajek–Renyi-type inequalities for $(\alpha ,\beta )$
(
α
,
β
)
-mixing sequences. As an important application of the results, we further study the CUSUM-type estimator of mean change-point models for $(\alpha , \beta )$
(
α
,
β
)
-mixing sequences. We establish the convergence rate of weak consistency for the CUSUM estimator. Moreover, we also present some simulation studies and a real data example to support the theoretical results.
The effect of newly designed dual-channel elastomeric pump for intravenous patient-controlled analgesia after total laparoscopic hysterectomy: a randomized, double-blind, prospective study
Authors: Oh Seok Kyeong , Kim Heezoo , Kim Young Sung , Lee Chung Hun , Oh Jung Suk , Kwon Dae Hui 
Published: October 2022

Abstract
Background
A newly designed intravenous patient-controlled analgesia (PCA) device with a dual-channel elastomeric infusion pump has been recently introduced. One channel is a continuous line with a constant flow rate basal infusion, while the other channel has an adjustable flow rate and bolus function and is labeled as a selector-bolus channel. This study compared dual and single-channel intravenous PCA in terms of clinical effect and quality of recovery.

Methods
Eighty-four patients undergoing total laparoscopic hysterectomy were randomly allocated to a 1-channel group (n = 41) or a 2-channel group (n = 43). Only the selector-bolus channel was utilized, but the continuous channel was not utilized in the 1-channel group, but both channels were utilized in the 2-channel group. In the 1-channel group, 16 μg/kg of fentanyl, 2 mg/kg of ketorolac, and 12 mg of ondansetron with normal saline were administered to the selector-bolus channel and normal saline only in the continuous channel for blinding. In the 2-channel group, 16 μg/kg of fentanyl was administered to the selector-bolus channel, and ketorolac (2 mg/kg) and ondansetron (12 mg) were administered via the continuous channel.
The quality of recovery was evaluated preoperatively and 24 h postoperatively using the Quality of Recovery-40 (QoR-40). Cumulative PCA consumption, postoperative pain rated using the numeric rating scale (NRS; during rest/cough), and postoperative nausea were evaluated 6, 12, 24, 36, and 48 h after surgery. Incidence of vomiting and use of antiemetics and rescue analgesics was measured.

Results
The 24-h postoperative QoR-40 score was higher in the 2-channel group than in the 1-channel group (P=0.031). The incidence of nausea at 12 h and 36 h was significantly higher in the 1-channel group (P=0.043 and 0.040, respectively), and antiemetic use was more frequent in the 1-channel group (P=0.049). Patient satisfaction was higher in the 2-channel group (P=0.036). No significant differences were observed in pain scores during resting/cough or cumulative PCA consumption.

Conclusions
The 2-channel PCA showed better patient satisfaction with higher QoR-40 during the recovery compared with the 1-channel PCA. Better satisfaction was associated with lower nausea and reduced rescue antiemetics by maintaining the infusion of adjuvant analgesic agents and antiemetic agents constantly by utilizing dual channels.

Trial registration
Registered at ClinicalTrials.gov, NCT04082039 on 9 September 2019.
Cowpea seeds from plants subjected to restricted-and full-irrigation regimes show differential phytochemical activity
Authors: Miri MirReza , Ghooshchi Farshad , Tohidi Moghadam Hamid Reza , Larijani HamidReza , Kasraie Pourang 
Published: October 2022

Abstract
Background
Water scarcity is responsible for losses in the yield of many plants and this is expected to continue due to climate change. However, cowpea which is known for its drought tolerance, is considered as a plant without limitations to climate change. A two-year experiment was conducted to evaluate the effect of water restriction on phenolic compounds, antioxidant capacity and leaf nutrients concentration of four cultivars of cowpea at different growth stages. At second leaf stage, two irrigation regimes were initiated (Water irrigation was applied after 75% and 55% of field capacity, as well watered and drought stress treatment, respectively).Plants samples were collectedat three stages(immature pod, immature seed and dry seed stage) for total phenol and flavonoids content, ortho-diphenols andantioxidant capacity measurement and leaves sampling for nutrients concentration.

Results
The results indicated that polyphenolic compounds and antioxidant capacity increased under drought conditions. However, in both irrigation regimes, immature pods had the higher polyphenolic compounds, antioxidant capacity and leaf nutrients concentration rather than immature seeds and dry seeds. Among the genotypes, ILC482 revealed the highest content of total phenolics and ortho-diphenols (6.9 and 3.57 mg GA g−1dry weight, respectively). In addition, nitrogen, phosphorus and magnesium concentration of leaves were higher in ILC482 genotype. Under drought stress, ILC482 maintained higher ABTS radical scavenging capacity (0.0083 mmol Trolox g−1dry weight) compared to other genotypes.

Conclusions
It is suggested that drought stress affect the quality of cowpea productions through polyphenolic compounds, ABTS and DPPH radical scavenging capacity which can be used as a helpful strategy to save water in the regions where water is scare.
Six in ten children with epilepsy visiting the University of Gondar comprehensive specialized hospital were undernourished: a cross-sectional study
Authors: Genet Geta Bayu , Teshager Nahom Worku , Toni Alemayehu Teklu 
Published: October 2022

Abstract
Background
The burden of undernutrition among children with epilepsy in low- and middle-income countries is not well studied. This study aimed to assess the magnitude of undernutrition and associated factors among children with epilepsy at the University of Gondar Comprehensive and Specialized Hospital, Northwest Ethiopia.

Method
A single-center cross-sectional study was conducted on 239 epileptic children with epilepsy visiting the University of Gondar Comprehensive Specialized Hospital pediatric neurology clinic from June 2021 to September 2021. A pre-tested, researcher-administered questionnaire and medical record review were used for data collection. We included all participants who fulfilled the inclusion criteria. We did anthropometric measurements and defined undernutrition based on the world health organization criteria. Binary and multivariable logistic regressions were employed to determine factors associated with undernutrition. The statistical association between dependent and independent variables was declared at p-value of ≤ 0.05.

Result
The mean(+/-SD) age was 9.38 ± 0.29 years, with a male to female ratio of 1.8: 1, and school-age children account for 35.6%. The overall magnitude of undernutrition was 141(59%) of which 89(63.1%) had moderate to severe stunting, 91(64.5%) moderate to severe wasting, and 39(27.7%) had both. Being male (AOR = 1.96, 95%CI, 1.05–3.69), low paternal level of education (AOR = 1.88, 95%CI, 1.01–3.50), presence of delay in motor development (AOR = 5.91,95%CI, 1.55–22.49), and gum hyperplasia (AOR = 0.32,95%CI, 0.12–0.81), were significantly associated with undernutrition.

Conclusion
The magnitude of undernutrition among children with epilepsy was high. Male sex, low paternal level of education, presence of delay in motor development, and gum hyperplasia were significantly associated with undernutrition. Therefore, nutritional screening and intervention are recommended to be part of routine epileptic care.
How do the severe acute respiratory coronavirus 2 (SARS-CoV-2) and its variants escape the host protective immunity and mediate pathogenesis?
Authors: Noor Rashed 
Published: October 2022

Abstract
Background
To protect the global population from the ongoing COVID-19 pandemic caused by the severe acute respiratory β-coronavirus 2 (SARS-CoV-2), a number of vaccines are currently being used in three dosages (i.e., along with the booster dose) to induce the immunity required to combat the SARS-CoV-2 and its variants. So far, several antivirals and the commercial vaccines have been found to evoke the required humoral and cellular immunity within a huge population around world. However, an important aspect to consider is the avoidance mechanism of the host protective immunity by SARS-CoV-2 variants.

Main body of the abstract
Indeed, such an immune escape strategy has been noticed previously in case of SARS-CoV-1 and the Middle East Respiratory Syndrome coronavirus (MERS-CoV). Regarding the SARS-CoV-2 variants, the most important aspect on vaccine development is to determine whether the vaccine is actually capable to elicit the immune response or not, especially the viral spike (S) protein.

Short conclusion
Present review thus focused on such elicitation of immunity as well as pondered to the avoidance of host immunity by the SARS-CoV-2 Wuhan strain and its variants.
RP-HPLC-based phytochemical screening of different polyphenolic compounds from floral extract of four species of Saraca L. (Leguminosae)
Authors: Sil Sujit , De Kalyan K. , Ghosh Asok 
Published: October 2022

Abstract
Background
Saraca L. is one of the treasures throve of medicinally important plants in Indian subcontinent with its four species among which two are naturally distributed. It is one of the important resources of highly active phytochemicals due to which it proclaims a legendary position from ancient medicinal practices to modern ages. The crude extracts of flowers of four species were prepared using Soxhlet apparatus in petroleum benzene, ethyl acetate and 90% methanol sequentially. RP-HPLC (reverse-phase high-performance liquid chromatography)-based analysis of the presence of different phytochemicals using 15 different polyphenolic phytochemical standards was done to assess and quantify different phytochemicals.

Results
RP-HPLC-based evaluation revealed the presence different polyphenolic compounds like catechins, chlorogenic acid, vanillic acid, caffeic acid, gallic acid, t-cinnamic acid, anthrol, p-coumaric acid, biochanin A, etc., in a considerable amount which is very crucial for the phytomedicinal field. The correlations of the presence of known phytochemicals give a basis of phytochemical correlation among the four species. The RP-HPLC chromatographic data were applied to develop the complete phytochemical coding according to the complete set of chemicals found among the species to evaluate phytochemical correlation among them in a different way. This application also produces strong evidence of distinguishing features of S. indica and S. asoca that were considered as same species by some traditional taxonomy.

Conclusion
Extracts of S. thaipingensis contain highest amount of polyphenolic compounds, and the lowest amount was found in S. declinata. The phytochemical relations among S. asoca and S. declinata are high, and S. indica also has close relations with them, but S. thaipingensis has distinct divergence.
DaBlaCa-13 Study: Oncological Outcome of Short-Term, Intensive Chemoresection With Mitomycin in Nonmuscle Invasive Bladder Cancer: Primary Outcome of a Randomized Controlled Trial
Authors: Lindgren Maria S. , Hansen Erik , Azawi Nessn , Nielsen Anna M. , Dyrskjøt Lars , Jensen Jørgen B. 
Published: October 2022

PURPOSE This study aimed to assess long-term follow-up after chemoresection with mitomycin (MMC), a nonsurgical treatment modality for recurrent nonmuscle invasive bladder cancer (NMIBC). At the time of recurrence, chemoresection has previously been shown to reduce the number of patients requiring a procedure (transurethral resection of bladder tumors [TURBT] or office biopsy) by more than 50%. This study investigated the number of patients requiring a procedure during initial treatment and 2-year follow-up in patients treated with short-term, intensive chemoresection with MMC compared with patients undergoing standard surgical treatment of recurrent NMIBC. METHODS A randomized, controlled trial was conducted in two urological departments in Denmark from January 2018 to August 2021. In total, 120 patients with a history of Ta low- or high-grade NMIBC were included upon recurrence. The intervention group received intravesical MMC (40 mg/40 mL) three times a week for 2 weeks and TURBT or office biopsy only if the response was incomplete. The control group received TURBT or office biopsy and 6 weekly adjuvant instillations. The primary outcome was the number of patients undergoing a procedure within 2 years from inclusion, which was compared between groups using the chi-squared test. Recurrence-free survival was analyzed using the Kaplan-Meier method. RESULTS Significantly fewer patients were in need of a procedure in the intervention group than in the control group: 71% (95% CI, 57 to 81) and 100% (95% CI, 94 to 100), P < .001. The 12-month recurrence-free survival was 36% (95% CI, 24 to 50) and 43% (95% CI, 30 to 56) in the intervention and control groups, respectively ( P = .5). CONCLUSION Short-term intensive chemoresection is an effective treatment strategy for recurrent NMIBC that leads to a reduced number of required procedures without compromising long-term oncological safety.
Diagnosis and Treatment of Cognitive and Neuropsychiatric Symptoms in Parkinson Disease and Dementia With Lewy Bodies
Authors: Weintraub Daniel , Irwin David 
Published: October 2022

ABSTRACT

PURPOSE OF REVIEW
This article summarizes the underlying biology and current diagnostic and treatment strategies for the cognitive and neuropsychiatric features of Parkinson disease (PD) and dementia with Lewy bodies (DLB).

RECENT FINDINGS
Cognitive impairment and neuropsychiatric symptoms have been increasingly recognized in PD and DLB, leading to improved diagnosis and treatment strategies. While PD is most associated with and diagnosed by the presence of motor symptoms, nonmotor symptoms can often be the most debilitating for patients. Neuropsychiatric symptoms are highly prevalent nonmotor features and include cognitive impairment, depression, anxiety, psychosis, impulse control disorders, and apathy. Neuropsychiatric symptoms can be difficult to recognize and diagnose in patients with PD, in part because of comorbidity and symptom overlap with core PD features. Treatment strategies are a combination of pharmacologic and nonpharmacologic interventions used in the general population and those specific to PD. DLB is a clinical dementia syndrome, often with similar cognitive, behavioral, autonomic, and motor features as PD. Moreover, DLB has shared underlying pathophysiology with PD, as both are associated with postmortem findings of α-synuclein neuropathology at autopsy and have shared genetic risk and prodromal symptoms. DLB is clinically differentiated from PD by the presenting features of cognitive impairment in DLB, compared with the variable onset of cognitive impairment occurring 1 year or more after established motor onset in PD. Thus, diagnosis and treatment of cognitive impairment and neuropsychiatric symptoms in DLB are similar to that of PD and have important implications for maintaining patient independence and providing support for caregivers because motor, cognitive, and neuropsychiatric symptoms have an additive effect on patient functional disability.

SUMMARY
A careful history and physical examination are often needed to accurately diagnose and treat the heterogeneous cognitive and behavioral symptoms of PD and DLB. Accurate diagnosis and treatment of neuropsychiatric symptoms and cognitive impairment in PD and DLB are important, as these are a considerable source of patient disability and caregiver burden.
Palliative Care and Movement Disorders
Authors: Katz Maya 
Published: October 2022

ABSTRACT

PURPOSE OF REVIEW
This article reviews the role of palliative care in the treatment of patients with life-limiting neurodegenerative movement disorders.

RECENT FINDINGS
Growing evidence indicates that palliative care significantly improves quality of life and symptom burden for people with Parkinson disease and other serious movement disorders, while reducing caregiver burnout. An emphasis on advance care planning guides goal-directed treatment recommendations. Serious illness communication skills are evidence-based methods of relaying bad medical news to patients and mapping out values and goals in a way that provides comfort, emphasizes patient autonomy, and builds coping and resiliency strategies.

SUMMARY
Palliative care, when offered alongside primary medical and neurologic teams, provides an extra layer of support for people with serious illnesses. The goal of palliative care is to intensively treat total pain, which includes all of the physical, emotional, social, and spiritual distress caused by serious illness. Serious illness communication skills are key to providing empathic and goal-concordant care.