The 2023 MDPI Annual Report has
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15 pages, 7284 KiB  
Article
The [18F]F-FDG PET/CT Radiomics Classifier of Histologic Subtypes and Anatomical Disease Origins across Various Malignancies: A Proof-of-Principle Study
by Ricarda Hinzpeter, Seyed Ali Mirshahvalad, Vanessa Murad, Lisa Avery, Roshini Kulanthaivelu, Andres Kohan, Claudia Ortega, Elena Elimova, Jonathan Yeung, Andrew Hope, Ur Metser and Patrick Veit-Haibach
Cancers 2024, 16(10), 1873; https://doi.org/10.3390/cancers16101873 (registering DOI) - 15 May 2024
Abstract
We aimed to investigate whether [18F]F-FDG-PET/CT-derived radiomics can classify histologic subtypes and determine the anatomical origin of various malignancies. In this IRB-approved retrospective study, 391 patients (age = 66.7 ± 11.2) with pulmonary (n = 142), gastroesophageal (n = 128) and [...] Read more.
We aimed to investigate whether [18F]F-FDG-PET/CT-derived radiomics can classify histologic subtypes and determine the anatomical origin of various malignancies. In this IRB-approved retrospective study, 391 patients (age = 66.7 ± 11.2) with pulmonary (n = 142), gastroesophageal (n = 128) and head and neck (n = 121) malignancies were included. Image segmentation and feature extraction were performed semi-automatically. Two models (all possible subset regression [APS] and recursive partitioning) were employed to predict histology (squamous cell carcinoma [SCC; n = 219] vs. adenocarcinoma [AC; n = 172]), the anatomical origin, and histology plus anatomical origin. The recursive partitioning algorithm outperformed APS to determine histology (sensitivity 0.90 vs. 0.73; specificity 0.77 vs. 0.65). The recursive partitioning algorithm also revealed good predictive ability regarding anatomical origin. Particularly, pulmonary malignancies were identified with high accuracy (sensitivity 0.93; specificity 0.98). Finally, a model for the synchronous prediction of histology and anatomical disease origin resulted in high accuracy in determining gastroesophageal AC (sensitivity 0.88; specificity 0.92), pulmonary AC (sensitivity 0.89; specificity 0.88) and head and neck SCC (sensitivity 0.91; specificity 0.92). Adding PET-features was associated with marginal incremental value for both the prediction of histology and origin in the APS model. Overall, our study demonstrated a good predictive ability to determine patients’ histology and anatomical origin using [18F]F-FDG-PET/CT-derived radiomics features, mainly from CT. Full article
(This article belongs to the Section Cancer Pathophysiology)
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20 pages, 2795 KiB  
Review
Transforming the Management of Articular Fractures in the Foot: A Critical Examination of Current Methods and Future Directions: A Review
by Robert Daniel Dobrotă, Adrian Gheorghe Barbilian, Corina Sporea and Dumitru Ferechide
J. Pers. Med. 2024, 14(5), 525; https://doi.org/10.3390/jpm14050525 (registering DOI) - 15 May 2024
Abstract
This study provides a comprehensive examination of the current methodologies and potential strategies for the treatment of articular fractures of the foot. In the field of orthopedic healthcare, these fractures present a significant challenge due to their complex nature and the fact that [...] Read more.
This study provides a comprehensive examination of the current methodologies and potential strategies for the treatment of articular fractures of the foot. In the field of orthopedic healthcare, these fractures present a significant challenge due to their complex nature and the fact that they affect the routines of patients. The motivation behind this study is based on two main concepts. The first one is represented by the use of emerging medical technologies and personalized medicine to bring a significant transformation in the management of foot fractures and give a better quality of treatment that is accepted by the patient. However, because there are inequities in the availability of the necessary medical care and equipment, as well as uneven incorporation in clinical settings, new technologies cannot be used to treat these types of fractures. Regarding the second concept behind this study, it is indicated that although current treatment methods are essential, they have a number of shortcomings when it comes to properly addressing these types of injuries. An approach is needed that takes into account the biomechanical points of view and the particularities of each patient. This approach could be applied in all hospital settings. Through this study, we want to highlight the progress made in recent years in surgical techniques such as 3D printing, minimally invasive surgery (MIS), and biological products. However, in the application of this new discovery, new obstacles have been discovered that prevent the efficient treatment of these types of injuries. This study examines the effectiveness and limitations of current treatments, as well as how differences in healthcare, such as available equipment, training of medical staff, and technological advances, affect patient outcomes in everyday life. This research wishes to emphasize that continuous innovation, interdisciplinary collaboration, and the use of an optimal approach that is appropriate for each patient, are essential. This study aims to provide new insights and useful recommendations for future research and clinical practice. The main role of this research is to improve the quality of life of patients and increase the standards of care in this complex field, which is in permanent evolution. Full article
(This article belongs to the Section Methodology, Drug and Device Discovery)
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17 pages, 2092 KiB  
Review
HPV and RNA Binding Proteins: What We Know and What Remains to Be Discovered
by Sheila V. Graham
Viruses 2024, 16(5), 783; https://doi.org/10.3390/v16050783 (registering DOI) - 15 May 2024
Abstract
Papillomavirus gene regulation is largely post-transcriptional due to overlapping open reading frames and the use of alternative polyadenylation and alternative splicing to produce the full suite of viral mRNAs. These processes are controlled by a wide range of cellular RNA binding proteins (RPBs), [...] Read more.
Papillomavirus gene regulation is largely post-transcriptional due to overlapping open reading frames and the use of alternative polyadenylation and alternative splicing to produce the full suite of viral mRNAs. These processes are controlled by a wide range of cellular RNA binding proteins (RPBs), including constitutive splicing factors and cleavage and polyadenylation machinery, but also factors that regulate these processes, for example, SR and hnRNP proteins. Like cellular RNAs, papillomavirus RNAs have been shown to bind many such proteins. The life cycle of papillomaviruses is intimately linked to differentiation of the epithelial tissues the virus infects. For example, viral late mRNAs and proteins are expressed only in the most differentiated epithelial layers to avoid recognition by the host immune response. Papillomavirus genome replication is linked to the DNA damage response and viral chromatin conformation, processes which also link to RNA processing. Challenges with respect to elucidating how RBPs regulate the viral life cycle include consideration of the orchestrated spatial aspect of viral gene expression in an infected epithelium and the epigenetic nature of the viral episomal genome. This review discusses RBPs that control viral gene expression, and how the connectivity of various nuclear processes might contribute to viral mRNA production. Full article
(This article belongs to the Special Issue Regulation of the Virus Lifecycle by Cellular RNA-Binding Proteins)
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17 pages, 3158 KiB  
Article
Identification and Evaluation of Celery Germplasm Resources for Salt Tolerance
by Limei Wu, Jiageng Du, Yidan Zhang, Yuqin Xue, Chengyao Jiang, Wei Lu, Yangxia Zheng, Chengbo Zhou, Aisheng Xiong and Mengyao Li
Agronomy 2024, 14(5), 1048; https://doi.org/10.3390/agronomy14051048 (registering DOI) - 15 May 2024
Abstract
This study evaluated the salt tolerance in 40 celery germplasm resources to clarify the different salt tolerances of celery germplasm. A gradient treatment with different concentrations of NaCl solutions (100, 200, and 300 mmol·L−1) was used to simulate salt stress. After [...] Read more.
This study evaluated the salt tolerance in 40 celery germplasm resources to clarify the different salt tolerances of celery germplasm. A gradient treatment with different concentrations of NaCl solutions (100, 200, and 300 mmol·L−1) was used to simulate salt stress. After 15 days of salt treatment, 14 indicators related to plant growth, physiology, and biochemistry were determined. The results showed that different celery varieties responded differently to salt stress. Notably, there were significant variations in below-ground dry weight, root–crown ratio, antioxidant enzyme activity, and soluble protein content among the accessions under salt stress. Principal component analysis was used to identify important indices for evaluating salt tolerance, including plant height, spread, content of soluble protein, and so on. A comprehensive evaluation was conducted utilizing the salt damage index, principal component analysis, affiliation function analysis, and cluster analysis. The 40 celery germplasms were classified into five highly salt-tolerant, seven salt-tolerant, fifteen moderately salt-tolerant, nine salt-sensitive, and four highly salt-sensitive germplasms. SHHXQ, MXKQ, XBQC, XQ, and TGCXBQ were highly salt-tolerant germplasms, and BFMSGQ, HNXQ, ZQ, and MGXQW were highly salt-sensitive germplasms. The results of this study provide a reference for the variety of celery cultivation in saline areas and lay a foundation for the selection and breeding of salt-tolerant varieties of celery. Full article
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12 pages, 843 KiB  
Article
Urinary Dickkopf 3 Is Not an Independent Risk Factor in a Cohort of Kidney Transplant Recipients and Living Donors
by Ulrich Jehn, Ugur Altuner, Lino Henkel, Amélie Friederike Menke, Markus Strauss, Hermann Pavenstädt and Stefan Reuter
Int. J. Mol. Sci. 2024, 25(10), 5376; https://doi.org/10.3390/ijms25105376 (registering DOI) - 15 May 2024
Abstract
Urinary dickkopf 3 (uDKK3) is a marker released by kidney tubular epithelial cells that is associated with the progression of chronic kidney disease (CKD) and may cause interstitial fibrosis and tubular atrophy. Recent evidence suggests that uDKK3 can also predict the loss of [...] Read more.
Urinary dickkopf 3 (uDKK3) is a marker released by kidney tubular epithelial cells that is associated with the progression of chronic kidney disease (CKD) and may cause interstitial fibrosis and tubular atrophy. Recent evidence suggests that uDKK3 can also predict the loss of kidney function in CKD patients and kidney transplant recipients, regardless of their current renal function. We conducted a prospective study on 181 kidney transplant (KTx) recipients who underwent allograft biopsy to determine the cause, analyzing the relationship between uDKK3 levels in urine, histological findings, and future allograft function progression. Additionally, we studied 82 living kidney donors before unilateral nephrectomy (Nx), 1–3 days after surgery, and 1 year post-surgery to observe the effects of rapid kidney function loss. In living donors, the uDKK3/creatinine ratio significantly increased 5.3-fold 1–3 days after Nx. However, it decreased significantly to a median level of 620 pg/mg after one year, despite the absence of underlying primary kidney pathology. The estimated glomerular filtration rate (eGFR) decreased by an average of 29.3% to approximately 66.5 (±13.5) mL/min/1.73 m2 after one year, with no further decline in the subsequent years. uDKK3 levels increased in line with eGFR loss after Nx, followed by a decrease as the eGFR partially recovered within the following year. However, uDKK3 did not correlate with the eGFR at the single time points in living donors. In KTx recipients, the uDKK3/creatinine ratio was significantly elevated with a median of 1550 pg/mg compared to healthy individuals or donors after Nx. The mean eGFR in the recipient group was 35.5 mL/min/1.73 m2. The uDKK3/creatinine ratio was statistically associated with the eGFR at biopsy but was not independently associated with the eGFR one year after biopsy or allograft loss. In conclusion, uDKK3 correlates with recent and future kidney function and kidney allograft survival in the renal transplant cohort. Nevertheless, our findings indicate that the uDKK3/creatinine ratio has no prognostic influence on future renal outcome in living donors and kidney recipients beyond the eGFR, independent of the presence of acute renal graft pathology, as correlations are GFR-dependent. Full article
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13 pages, 866 KiB  
Review
The Crosstalk between Nerves and Cancer—A Poorly Understood Phenomenon and New Possibilities
by David Benzaquen, Yaacov R. Lawrence, Daniel Taussky, Daniel Zwahlen, Christoph Oehler and Ambroise Champion
Cancers 2024, 16(10), 1875; https://doi.org/10.3390/cancers16101875 (registering DOI) - 15 May 2024
Abstract
Introduction: Crosstalk occurs between nerve and cancer cells. These interactions are important for cancer homeostasis and metabolism. Nerve cells influence the tumor microenvironment (TME) and participate in metastasis through neurogenesis, neural extension, and axonogenesis. We summarized the past and current literature on the [...] Read more.
Introduction: Crosstalk occurs between nerve and cancer cells. These interactions are important for cancer homeostasis and metabolism. Nerve cells influence the tumor microenvironment (TME) and participate in metastasis through neurogenesis, neural extension, and axonogenesis. We summarized the past and current literature on the interaction between nerves and cancer, with a special focus on pancreatic ductal adenocarcinoma (PDAC), prostate cancer (PCa), and the role of the nerve growth factor (NGF) in cancer. Materials/Methods: We reviewed PubMed and Google Scholar for the relevant literature on the relationship between nerves, neurotrophins, and cancer in general and specifically for both PCa and PDAC. Results: The NGF helped sustain cancer cell proliferation and evade immune defense. It is a neuropeptide involved in neurogenic inflammation through the activation of several cells of the immune system by several proinflammatory cytokines. Both PCa and PDAC employ different strategies to evade immune defense. The prostate is richly innervated by both the sympathetic and parasympathetic nerves, which helps in both growth control and homeostasis. Newly formed autonomic nerve fibers grow into cancer cells and contribute to cancer initiation and progression through the activation of β-adrenergic and muscarinic cholinergic signaling. Surgical or chemical sympathectomy prevents the development of prostate cancer. Beta-blockers have a high therapeutic potential for cancer, although current clinical data have been contradictory. With a better understanding of the beta-receptors, one could identify specific receptors that could have an effect on prostate cancer development or act as therapeutic agents. Conclusion: The bidirectional crosstalk between the nervous system and cancer cells has emerged as a crucial regulator of cancer and its microenvironment. Denervation has been shown to be promising in vitro and in animal models. Additionally, there is a potential relationship between cancer and psychosocial biology through neurotransmitters and neurotrophins. Full article
(This article belongs to the Special Issue Targeting the Tumor Microenvironment (Volume II))
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12 pages, 2033 KiB  
Article
SARS-CoV-2-Specific Antibodies, B Cell and T Cell Immune Responses after ChAdOx1 nCoV-19 Vaccination in Solid Organ Transplant Recipients
by Pattaraphorn Phornkittikorn, Surasak Kantachuvesiri, Abhasnee Sobhonslidsuk, Teerapat Yingchoncharoen, Sasisopin Kiertiburanakul and Jackrapong Bruminhent
Vaccines 2024, 12(5), 541; https://doi.org/10.3390/vaccines12050541 (registering DOI) - 15 May 2024
Abstract
Background: Immunization against SARS-CoV-2 is essential for vulnerable solid organ transplant (SOT) recipients who are at risk of infection. However, there are concerns about suboptimal immunogenicity, especially in humoral immunity (HMI), and limited exploration of cell-mediated immune (CMI) responses. The primary objective of [...] Read more.
Background: Immunization against SARS-CoV-2 is essential for vulnerable solid organ transplant (SOT) recipients who are at risk of infection. However, there are concerns about suboptimal immunogenicity, especially in humoral immunity (HMI), and limited exploration of cell-mediated immune (CMI) responses. The primary objective of this study was to assess the immunogenicity of ChAdOx1 nCoV-19 vaccination in SOT recipients. The secondary endpoint was to evaluate factors that affect immunogenicity and adverse events (AEs) following immunization in SOT recipients. Methods: All adult SOT recipients who received the two-dose ChAdOx1 nCoV-19 vaccine at a 12-week interval underwent measurements of HMI by evaluating anti-receptor-binding domain (RBD) IgG levels and CMI by investigating SARS-CoV-2-specific T cell and B cell responses before and after complete vaccination, around 2–4 weeks post-vaccination, and compared to controls. AEs were monitored in all participants. Results: The study included 63 SOT recipients: 44 kidney recipients, 16 liver recipients, and 3 heart transplant recipients, along with 11 immunocompetent controls. Among SOT recipients, 36% were female, and the median (IQR) age was 52 (42–61). The median (IQR) time since transplant was 55 (28–123) months. After the second dose, the median (IQR) anti-RBD antibody levels were significantly lower in SOT recipients compared to those in the control group (8.3 [0.4–46.0] vs. 272.2 [178.1–551.6] BAU/mL, p < 0.01). This resulted in a seroconversion rate (anti-RBD antibody > 7.1 BAU/mL) of 51% among SOT recipients and 100% among controls (p = 0.008). Receiving the vaccine beyond one year post-transplant significantly affected seroconversion (OR 9.04, 95% CI 1.04–78.56, p = 0.046), and low-dose mycophenolic acid marginally affected seroconversion (OR 2.67, 95% CI 0.89–7.96, p = 0.079). RBD-specific B cell responses were also significantly lower compared to those in the control group (0 [0–4] vs. 10 [6–22] SFUs/106 PBMCs, p = 0.001). Similarly, S1- and SNMO-specific T cell responses were significantly lower compared to those in the control group (48 [16–128] vs. 216 [132–356] SFUs/106 PBMCs, p = 0.004 and 20 [4–48] vs. 92 [72–320] SFUs/106 PBMCs, p = 0.004). AEs were generally mild and spontaneously resolved. Conclusions: SOT recipients who received the full two-dose ChAdOx1 nCoV-19 vaccine demonstrated significantly diminished HMI and CMI responses compared to immunocompetent individuals. Consideration should be given to administering additional vaccine doses or optimizing immunosuppressant regimens during vaccination (Thai Clinical Trial Registry: TCTR20210523002). Full article
(This article belongs to the Special Issue RNA-Based Vaccines Development)
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17 pages, 4545 KiB  
Article
Liquid Dynamics in the Upper Respiratory–Digestive System with Contracting Pharynx Motions and Varying Epiglottis Angles
by Amr Seifelnasr, Xiuhua Si, Peng Ding and Jinxiang Xi
Liquids 2024, 4(2), 415-431; https://doi.org/10.3390/liquids4020022 (registering DOI) - 15 May 2024
Abstract
Swallowing disorders, or dysphagia, can lead to bolus aspiration in the airway, causing serious adverse health effects. Current clinical interventions for dysphagia are mainly empirical and often based on symptoms rather than etiology, of which a thorough understanding is still lacking. However, it [...] Read more.
Swallowing disorders, or dysphagia, can lead to bolus aspiration in the airway, causing serious adverse health effects. Current clinical interventions for dysphagia are mainly empirical and often based on symptoms rather than etiology, of which a thorough understanding is still lacking. However, it is challenging to study the swallowing process that involves sequential structural motions and is inaccessible to standard visualization instruments. This study proposed an in vitro method to visualize swallowing hydrodynamics and identify the fundamental mechanisms underlying overflow aspirations. An anatomically accurate pharynx–epiglottis model was developed from patient-specific CT images of 623 µm isotropic resolution. A compliant half-pharynx cast was prepared to incorporate dynamic structures and visualize the flow dynamics in the mid-sagittal plane. Three locations of frequent overflow aspiration were identified: the epiglottis base, cuneiform tubular recesses, and the interarytenoid notch. Water had a consistently higher aspiration risk than a 1% w/v methylcellulose (MC) solution. The contracting–relaxing pharynx and flapping epiglottis spread the liquid film, causing a delayed esophageal entry and increased vallecular residual, which was more pronounced with the MC solution. Dispensing the liquid too slowly resulted in water aspiration, whereas this was not observed with the MC solution. An incomplete epiglottis inversion, such as horizontal or down-tilt 45°, aggravated the aspiration risks of water. This study suggests that it is practical to use anatomically accurate respiratory–digestive models to study the swallowing process by incorporating varying physiological details. Full article
(This article belongs to the Section Physics of Liquids)
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12 pages, 1043 KiB  
Article
Enhancing Cotton Production and Sustainability through Multi-Tier Cropping Systems: Growth, Efficiency, and Profitability Analysis
by Kanthan Thirukumaran, Kadapillai Nagarajan, Natarajan Vadivel, Vaddi Saitheja, Venkatesan Manivannan, Gnanasekaran Prabukumar, Panneerselvam Parasuraman, Muthusami Karuppasami Kalarani, Ramasamy Karthikeyan and Vaithiyanathan Sendhilvel
Agronomy 2024, 14(5), 1049; https://doi.org/10.3390/agronomy14051049 (registering DOI) - 15 May 2024
Abstract
Intercropping presents an opportunity to optimise land use and resource efficiency in cotton cultivation, particularly for small and marginal farmers facing climate-related challenges and rising input costs. This study explores the potential of intercropping short-duration vegetables with cotton to transform this production system [...] Read more.
Intercropping presents an opportunity to optimise land use and resource efficiency in cotton cultivation, particularly for small and marginal farmers facing climate-related challenges and rising input costs. This study explores the potential of intercropping short-duration vegetables with cotton to transform this production system into a more economically viable and sustainable one. The study was conducted in the Cotton Department of Tamil Nadu Agricultural University in Coimbatore during the winter irrigated season, from August to January, in both 2020 and 2021. The growth, yield parameters, equivalent yield (3645 and 4234 kg ha−1), and net return (Rs. 123,434 ha−1 and Rs. 154,034 ha−1) were higher in the intercropping system with the paired row planting of Bt cotton with two rows of cluster bean. Upon comparing sole cropping and the paired row method of planting, it was found that adopting the paired row system of planting Bt cotton with two rows of cluster bean was highly profitable in all aspects of crop production. Therefore, the adoption of paired row cropping systems with compatible intercrops that promote synergistic effects on the main crop should be considered for enhancing overall productivity, as well as sustainability. Full article
(This article belongs to the Section Agroecology Innovation: Achieving System Resilience)
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13 pages, 3257 KiB  
Article
Advancing Exoskeleton Development: Validation of a Robotic Surrogate to Measure Tibial Strain
by Robert L. McGrath, Ciera A. Price, William Brett Johnson and Walter Lee Childers
Bioengineering 2024, 11(5), 490; https://doi.org/10.3390/bioengineering11050490 (registering DOI) - 15 May 2024
Abstract
Bone stress injuries are prevalent among athletes and military recruits and can significantly compromise training schedules. The development of an ankle–foot orthosis to reduce tibial load and enable a faster return to activity will require new device testing methodologies capable of capturing the [...] Read more.
Bone stress injuries are prevalent among athletes and military recruits and can significantly compromise training schedules. The development of an ankle–foot orthosis to reduce tibial load and enable a faster return to activity will require new device testing methodologies capable of capturing the contribution of muscular force on tibial strain. Thus, an actuated robotic surrogate leg was developed to explore how tibial strain changes with different ankle–foot orthosis conditions. The purpose of this work was to assess the reliability, scalability, and behavior of the surrogate. A dual actuation system consisting of a Bowden cable and a vertical load applied to the femur via a material testing system, replicated the action-reaction of the Achilles-soleus complex. Maximum and minimum principal strain, maximum shear strain, and axial strain were measured by instrumented strain gauges at five locations on the tibia. Strains were highly repeatable across tests but did not consistently match in vivo data when scaled. However, the stiffness of the ankle–foot orthosis strut did not systematically affect tibial load, which is consistent with in vivo findings. Future work will involve improving the scalability of the results to match in vivo data and using the surrogate to inform exoskeletal designs for bone stress injuries. Full article
(This article belongs to the Special Issue Medical Devices and Implants)
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15 pages, 1006 KiB  
Review
Recent Advances in Phytochemical-Based Topical Applications for the Management of Eczema: A Review
by Janani Radhakrishnan, Barry E. Kennedy, Erin B. Noftall, Carman A. Giacomantonio and H. P. Vasantha Rupasinghe
Int. J. Mol. Sci. 2024, 25(10), 5375; https://doi.org/10.3390/ijms25105375 (registering DOI) - 15 May 2024
Abstract
Eczema (atopic dermatitis, AD) is a skin disease characterized by skin barrier dysfunction due to various factors, including genetics, immune system abnormalities, and environmental triggers. Application of emollients and topical drugs such as corticosteroids and calcineurin inhibitors form the mainstay of treatments for [...] Read more.
Eczema (atopic dermatitis, AD) is a skin disease characterized by skin barrier dysfunction due to various factors, including genetics, immune system abnormalities, and environmental triggers. Application of emollients and topical drugs such as corticosteroids and calcineurin inhibitors form the mainstay of treatments for this challenging condition. This review aims to summarize the recent advances made in phytochemical-based topical applications to treat AD and the different carriers that are being used. In this review, the clinical efficacy of several plant extracts and bioactive phytochemical compounds in treating AD are discussed. The anti-atopic effects of the herbs are evident through improvements in the Scoring Atopic Dermatitis (SCORAD) index, reduced epidermal thickness, decreased transepidermal water loss, and alleviated itching and dryness in individuals affected by AD as well as in AD mouse models. Histopathological studies and serum analyses conducted in AD mouse models demonstrated a reduction in key inflammatory factors, including thymic stromal lymphopoietin (TSLP), serum immunoglobulin E (IgE), and interleukins (IL). Additionally, there was an observed upregulation of the filaggrin (FLG) gene, which regulates the proteins constituting the stratum corneum, the outermost layer of the epidermis. Carriers play a crucial role in topical drug applications, influencing dose delivery, retention, and bioavailability. This discussion delves into the efficacy of various nanocarriers, including liposomes, ethosomes, nanoemulsions, micelles, nanocrystals, solid-lipid nanoparticles, and polymeric nanoparticles. Consequently, the potential long-term side effects such as atrophy, eruptions, lymphoma, pain, and allergic reactions that are associated with current topical treatments, including emollients, topical corticosteroids, topical calcineurin inhibitors, and crisaborole, can potentially be mitigated through the use of phytochemical-based natural topical treatments. Full article
(This article belongs to the Special Issue Molecular Studies of Dermatitis: From Mechanism to Therapy)
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19 pages, 9142 KiB  
Article
A New Machine-Learning-Driven Grade-Point Average Prediction Approach for College Students Incorporating Psychological Evaluations in the Post-COVID-19 Era
by Tiantian Zhang, Zhidan Zhong, Wentao Mao, Zhihui Zhang and Zhe Li
Electronics 2024, 13(10), 1928; https://doi.org/10.3390/electronics13101928 (registering DOI) - 15 May 2024
Abstract
With the rapid development of artificial intelligence in recent years, intelligent evaluation of college students’ growth by means of the monitoring data from training processes is becoming a promising technique in the field intelligent education. Current studies, however, tend to utilize course grades, [...] Read more.
With the rapid development of artificial intelligence in recent years, intelligent evaluation of college students’ growth by means of the monitoring data from training processes is becoming a promising technique in the field intelligent education. Current studies, however, tend to utilize course grades, which are objective, to predict students’ grade-point averages (GPAs), but usually neglect subjective factors like psychological resilience. To solve this problem, this paper takes mechanical engineering as the research object, and proposes a new machine-learning-driven GPA prediction approach to evaluate the academic performance of engineering students by incorporating psychological evaluation data into basic course scores. Specifically, this paper adopts SCL-90 psychological assessment data collected in the freshman year, including key mental health indicators such as somatization, depression, hostility, and interpersonal sensitivity indicators, as well as professional basic course scores, including mechanical principles, mechanical design, advanced mathematics, and engineering drawing. Four representative machine learning algorithms, Support Vector Machine (SVM), CNN-CBAM, Extreme Gradient Boosting (XGBoost) and Classification and Regression Tree (CART) that include deep and shallow models, respectively, are then employed to build a classification model for GPA prediction. This paper designs a validation experiment by tracking 229 students from the 2020 class from the School of Mechanical and Electrical Engineering of Henan University of Science and Technology, China. The students’ academic performance in senior grades is divided into five classes to use as the prediction labels. It is verified that psychological data and course data can be effectively integrated into GPA prediction for college students, with an accuracy rate of 83.64%. Meanwhile, this paper also reveals that anxiety indicators in the psychological assessment data have the greatest impact on college students’ academic performance, followed by interpersonal sensitivity. The experimental results also show that, for predicting junior year GPAs, psychological factors play more important role than they do in predicting sophomore GPAs. Suggestions are therefore given: the current practice in existing undergraduate teaching, i.e., only conducting psychological assessments in the initial freshman year, should be updated by introducing follow-up psychological assessments in each academic year. Full article
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19 pages, 3709 KiB  
Article
Impacts of Wildlife Artificial Water Provisioning in an African Savannah Ecosystem: A Spatiotemporal Analysis
by Morati Mpalo, Lenyeletse Vincent Basupi and Gizaw Mengistu Tsidu
Land 2024, 13(5), 690; https://doi.org/10.3390/land13050690 (registering DOI) - 15 May 2024
Abstract
The use of artificial water points for wildlife in African savannah ecosystems has been widely criticised for affecting the distribution of wildlife and initiating changes in the heterogeneity of natural landscapes. We examined the spatiotemporal variations in the landscape before and after the [...] Read more.
The use of artificial water points for wildlife in African savannah ecosystems has been widely criticised for affecting the distribution of wildlife and initiating changes in the heterogeneity of natural landscapes. We examined the spatiotemporal variations in the landscape before and after the installation of an artificial water point by integrating the analysis of vegetation and soil spectral response patterns with a supervised learning random forest model between 2002 and 2022 in Chobe Enclave, Northern Botswana. Our results revealed that the study area is characterised by animal species such as Equus quagga, Aepyceros melampus, and Loxodonta africana. The findings also showed that the main vegetation species in the study area landscape include Combretum elaeagnoides, Vachellia luederitzii, and Combretum hereroense. The artificial water point induced disturbances on a drought-vulnerable landscape which affected vegetation heterogeneity by degrading the historically dominant vegetation cover types such as Colophospermum mopane, Dichrostachys cinerea, and Cynodon dactylon. The immediate years following the artificial water point installation demonstrated the highest spectral response patterns by vegetation and soil features attributed to intense landscape disturbances due to abrupt high-density aggregation of wildlife around the water point. Landscapes were strongly homogenised in later years (2022), as shown by overly overlapping spectral patterns owing to an increase in dead plant-based material and senescent foliage due to vegetation toppling and trampling. The landscape disturbances disproportionately affected mopane-dominated woodlands compared to other vegetation species as indicated by statistically significant land cover change obtained from a random forest classification. The woodlands declined significantly (p < 0.05) within 0–0.5 km, 0.5–1 km, 1–5 km, and 5–10 km distances after the installation of the water point. The results of this study indicate that continuous nonstrategic and uninformed use of artificial water points for wildlife will trigger ecological alterations in savannah ecosystems. Full article
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17 pages, 969 KiB  
Article
KGCFRec: Improving Collaborative Filtering Recommendation with Knowledge Graph
by Jiquan Peng, Jibing Gong, Chao Zhou, Qian Zang, Xiaohan Fang, Kailun Yang and Jing Yu
Electronics 2024, 13(10), 1927; https://doi.org/10.3390/electronics13101927 (registering DOI) - 15 May 2024
Abstract
Traditional collaborative filtering (CF)-based recommendation systems are often challenged by data sparsity. The recent research has recognized the potential of integrating new information sources, such as knowledge graphs, to address this issue. However, a common drawback is the neglect of the interplay between [...] Read more.
Traditional collaborative filtering (CF)-based recommendation systems are often challenged by data sparsity. The recent research has recognized the potential of integrating new information sources, such as knowledge graphs, to address this issue. However, a common drawback is the neglect of the interplay between user–item interaction data and knowledge graph information, resulting in insufficient model performance due to coarse-grained feature fusion. To bridge this gap, in this paper, we propose a novel graph neural network (GNN) model called KGCFRec, which leverages both Knowledge Graph and user–item Collaborative Filtering information for an enhanced Recommender system. KGCFRec employs a dual-channel information propagation and aggregation mechanism to generate distinct representations for the collaborative knowledge graph and the user–item interaction graph. This is followed by an attention mechanism that adaptively fuses the knowledge graph with collaborative information, thereby refining the representations and narrowing the gap between them. The experiments conducted on three real-world datasets demonstrate that KGCFRec outperforms state-of-the-art methods. These promising results underscore the capability of KGCFRec to enhance recommendation accuracy by integrating knowledge graph information. Full article
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14 pages, 2236 KiB  
Article
In Vivo Regulation of Active Matrix Metalloproteinase-8 (aMMP-8) in Periodontitis: From Transcriptomics to Real-Time Online Diagnostics and Treatment Monitoring
by Nur Rahman Ahmad Seno Aji, Tülay Yucel-Lindberg, Ismo T. Räisänen, Heidi Kuula, Mikko T. Nieminen, Maelíosa T. C. Mc Crudden, Dyah Listyarifah, Anna Lundmark, Fionnuala T. Lundy, Shipra Gupta and Timo Sorsa
Diagnostics 2024, 14(10), 1011; https://doi.org/10.3390/diagnostics14101011 (registering DOI) - 15 May 2024
Abstract
Background: This study investigated in vivo regulation and levels of active matrix metalloproteinase-8 (aMMP-8), a major collagenolytic protease, in periodontitis. Methods: Twenty-seven adults with chronic periodontitis (CP) and 30 periodontally healthy controls (HC) were enrolled in immunohistochemistry and transcriptomics analytics in order to [...] Read more.
Background: This study investigated in vivo regulation and levels of active matrix metalloproteinase-8 (aMMP-8), a major collagenolytic protease, in periodontitis. Methods: Twenty-seven adults with chronic periodontitis (CP) and 30 periodontally healthy controls (HC) were enrolled in immunohistochemistry and transcriptomics analytics in order to assess Treponema denticola (Td) dentilisin and MMP-8 immunoexpression, mRNA expression of MMP-8 and its regulators (IL-1β, MMP-2, MMP-7, TIMP-1). Furthermore, the periodontal anti-infective treatment effect was monitored by four different MMP-8 assays (aMMP-8-IFMA, aMMP-8-Oralyzer, MMP-8-activity [RFU/minute], and total MMP-8 by ELISA) among 12 CP (compared to 25 HC). Results: Immunohistochemistry revealed significantly more Td-dentilisin and MMP-8 immunoreactivities in CP vs. HC. Transcriptomics revealed significantly elevated IL-1β and MMP-7 RNA expressions, and MMP-2 RNA was slightly reduced. No significant differences were recorded in the relatively low or barely detectable levels of MMP-8 mRNAs. Periodontal treatment significantly decreased all MMP-8 assay levels accompanied by the assessed clinical indices (periodontal probing depths, bleeding-on-probing, and visual plaque levels). However, active but not total MMP-8 levels persisted higher in CP than in periodontally healthy controls. Conclusion: In periodontal health, there are low aMMP-8 levels. The presence of Td-dentilisin in CP gingivae is associated with elevated aMMP-8 levels, potentially contributing to a higher risk of active periodontal tissue collagenolysis and progression of periodontitis. This can be detected by aMMP-8-specific assays and online/real-time aMMP-8 chair-side testing. Full article
(This article belongs to the Special Issue Advances in the Diagnosis of Oral and Maxillofacial Disease)
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11 pages, 987 KiB  
Review
The Emerging Role of Silk Fibroin for the Development of Novel Drug Delivery Systems
by Mauro Pollini and Federica Paladini
Biomimetics 2024, 9(5), 295; https://doi.org/10.3390/biomimetics9050295 (registering DOI) - 15 May 2024
Abstract
In order to reduce the toxicological impact on healthy cells and to improve the therapeutic response, many drug delivery systems have been fabricated and analysed, involving the use of different natural and synthetic materials at macro-, micro- and nanoscales. Among the natural materials [...] Read more.
In order to reduce the toxicological impact on healthy cells and to improve the therapeutic response, many drug delivery systems have been fabricated and analysed, involving the use of different natural and synthetic materials at macro-, micro- and nanoscales. Among the natural materials which have demonstrated a huge potential for the development of effective drug delivery systems, silk fibroin has emerged for its excellent biological properties and for the possibility to be processed in a wide range of forms, which can be compliant with multiple active molecules and pharmaceutical ingredients for the treatment of various diseases. This review aims at presenting silk fibroin as an interesting biopolymer for applications in drug delivery systems, exploring the results obtained in recent works in terms of technological progress and effectiveness in vitro and in vivo. Full article
(This article belongs to the Special Issue Silk-Based Bioinspired Materials: Design and Applications)
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19 pages, 6739 KiB  
Article
Artificial Neural Network Modeling in the Presence of Uncertainty for Predicting Hydrogenation Degree in Continuous Nitrile Butadiene Rubber Processing
by Chandra Mouli R. Madhuranthakam, Farzad Hourfar and Ali Elkamel
Processes 2024, 12(5), 999; https://doi.org/10.3390/pr12050999 (registering DOI) - 15 May 2024
Abstract
The transition from batch to continuous production in the catalytic hydrogenation of nitrile butadiene rubber (NBR) into hydrogenated NBR (HNBR) marks a significant advance for applications under demanding conditions. This study introduces a continuous process utilizing a static mixer (SM) reactor, which notably [...] Read more.
The transition from batch to continuous production in the catalytic hydrogenation of nitrile butadiene rubber (NBR) into hydrogenated NBR (HNBR) marks a significant advance for applications under demanding conditions. This study introduces a continuous process utilizing a static mixer (SM) reactor, which notably achieves a hydrogenation conversion rate exceeding 97%. We thoroughly review a mechanistic model of the SM reactor to elucidate the internal dynamics governing the hydrogenation process and address the inherent uncertainties in key parameters such as the Peclet number (Pe), dimensionless time (θτ), reaction coefficient (R), and flow rate coefficient (q). A comprehensive dataset generated from varied parameter values serves as the basis for training an artificial neural network (ANN), which is then compared against traditional models including linear regression, decision tree, and random forest in terms of efficacy. Our results clearly demonstrate the ANN’s superiority in predicting the degree of hydrogenation, achieving the lowest root mean squared error (RMSE) of 3.69 compared to 21.90 for linear regression, 4.94 for decision tree, and 7.51 for random forest. The ANN’s robust capability for modeling complex nonlinear relationships and dynamics significantly enhances decision-making, planning, and optimization of the reactor, reducing computational demands and operational costs. In other words, this approach allows users to rely on a single ML-based model instead of multiple mechanistic models for reflecting the effects of possible uncertainties. Additionally, a feature importance study validates the critical impact of time and element number on the hydrogenation process, further supporting the ANN’s predictive accuracy. These findings underscore the potential of ML-based models in streamlining and enhancing the efficiency of chemical production processes. Full article
(This article belongs to the Section Materials Processes)
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25 pages, 6989 KiB  
Article
Improved A* Algorithm for Path Planning Based on CubeSats In-Orbit Electromagnetic Transfer System
by Duo Xu, Honghao Yue, Yong Zhao, Fei Yang, Jun Wu, Xueting Pan, Tao Tang and Yuhao Zhang
Aerospace 2024, 11(5), 394; https://doi.org/10.3390/aerospace11050394 (registering DOI) - 15 May 2024
Abstract
For future large-scale CubeSat applications in orbit, the deployer must accommodate a greater number of CubeSats and facilitate cluster releases. This paper introduces an improved A* algorithm tailored for CubeSat in-orbit transfer path planning. Unlike the traditional A* algorithm, this enhanced version incorporates [...] Read more.
For future large-scale CubeSat applications in orbit, the deployer must accommodate a greater number of CubeSats and facilitate cluster releases. This paper introduces an improved A* algorithm tailored for CubeSat in-orbit transfer path planning. Unlike the traditional A* algorithm, this enhanced version incorporates a path coordination strategy to manage congestion caused by the simultaneous transfer of many CubeSats, ensuring they reach their designated release positions smoothly and thus significantly boosting the efficiency of CubeSat transfers. Additionally, the algorithm develops a cost model for attitude disturbances on the electromagnetic conveying platform and crafts an improved cost function. It strategically balances the reduction in attitude disturbances caused by CubeSat transfers with the efficiency of these transfers. The primary goal is to minimize platform disturbances while optimizing the number of steps CubeSats need to reach their intended positions. The effectiveness of this algorithm is demonstrated through detailed case studies, which confirm that during the CubeSat transfer process, the platform’s attitude remains stable, and the transfer efficiency is well-managed, achieving efficient path planning for the in-orbit transfer of numerous CubeSats. Full article
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13 pages, 1852 KiB  
Article
Short-Term Effects of Ambient Air Pollution on Chronic Obstructive Pulmonary Disease Admissions in Jiuquan, China
by Hairong Bao, Jiyuan Dong, Deshun Li, Lisha Zhu and Juan Shu
Toxics 2024, 12(5), 364; https://doi.org/10.3390/toxics12050364 (registering DOI) - 15 May 2024
Abstract
Recent findings indicate that air pollution contributes to the onset and advancement of chronic obstructive pulmonary disease (COPD). Nevertheless, there is insufficient research indicating that air pollution is linked to COPD in the region of inland northwest China. Daily hospital admission records for [...] Read more.
Recent findings indicate that air pollution contributes to the onset and advancement of chronic obstructive pulmonary disease (COPD). Nevertheless, there is insufficient research indicating that air pollution is linked to COPD in the region of inland northwest China. Daily hospital admission records for COPD, air pollutant levels, and meteorological factor information were collected in Jiuquan for this study between 1 January 2018 and 31 December 2019. We employed a distributed lag non-linear model (DLNM) integrated with the generalized additive model (GAM) to assess the association between air pollution and hospital admissions for COPD with single lag days from lag0 to lag7 and multiday moving average lag days from lag01 to lag07. For example, the pollutant concentration on the current day was lag0, and on the prior 7th day was lag7. The present and previous 7-day moving average pollutant concentration was lag07. Gender, age, and season-specific stratified analyses were also carried out. It is noteworthy that the delayed days exhibited a different pattern, and the magnitude of associations varied. For NO2 and CO, obvious associations with hospitalizations for COPD were found at lag1, lag01–lag07, and lag03–lag07, with the biggest associations at lag05 and lag06 [RR = 1.015 (95%CI: 1.008, 1.023) for NO2, RR = 2.049 (95%CI: 1.416, 2.966) for CO], while only SO2 at lag02 was appreciably linked to hospitalizations for COPD [1.167 (95%CI: 1.009, 1.348)]. In contrast, short-term encounters with PM2.5, PM10, and O3 were found to have no significant effects on COPD morbidity. The lag effects of NO2 and CO were stronger than those of PM2.5 and PM10. Males and those aged 65 years or older were more vulnerable to air pollution. When it came to the seasons, the impacts appeared to be more pronounced in the cold season. In conclusion, short-term encounters with NO2 and CO were significantly correlated with COPD hospitalization in males and the elderly (≥65). Full article
(This article belongs to the Section Air Pollution and Health)
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18 pages, 2395 KiB  
Article
Wood Quality of Young Tectona grandis L. f. Trees and Its Relationship with Genetic Material and Planting Site in Mato Grosso, Brazil
by Leandro Vinicius Carbonato de Souza, Jackeline Eliada Cichoski da Silva, Tielis Lucas Bianchini Azevedo, Adriano Reis Prazeres Mascarenhas, Luis Alberto Ugalde Arias, Bárbara Luísa Corradi Pereira and Aylson Costa Oliveira
Forests 2024, 15(5), 860; https://doi.org/10.3390/f15050860 (registering DOI) - 15 May 2024
Abstract
Tectona grandis L. f. (teak) is highly valued in the international market, but its volume and properties vary depending on its genetic material and planting site. Evaluating these factors is crucial for promoting new plantations. Therefore, this study aimed to assess the impact [...] Read more.
Tectona grandis L. f. (teak) is highly valued in the international market, but its volume and properties vary depending on its genetic material and planting site. Evaluating these factors is crucial for promoting new plantations. Therefore, this study aimed to assess the impact of genetic material (clones TG1 and TG3 and seminal material) and planting site (Nova Maringá and Água Boa, Mato Grosso, Brazil) on morphological parameters (heartwood, sapwood, bark, pith proportions, and pith eccentricity), physical properties (shrinkage and air-dry density), and mechanical properties (static bending strength—fm, compressive strength—fc0, Janka hardness—fH90, and shear strength—fv0). For this purpose, we sampled five trees aged 13 years per genetic material from commercial plantations. In Nova Maringá, trees exhibited, on average, 56.07% heartwood, while in Água Boa, this value was less than 50%. Seminal material showed the lowest percentage of heartwood (49.2%). The pith percentage was significantly greater in Água Boa than in Nova Maringá, regardless of the genetic material. We observed the highest standard deviation (5.61) in pith eccentricity for the seminal material. Both the planting site and genetic material influenced the air-dry density (~12% moisture content), which ranged from 0.535 to 0.618 g·cm−3. Trees grown in Nova Maringá produced wood with higher dimensional stability than those from Água Boa, exhibiting a 14% lower radial shrinkage and a 6% lower volumetric variation. In Nova Maringá, the wood from the seminal material exhibited greater resistance. On the other hand, in Água Boa, that material showed lower resistance (fv0, fm, and fc0), or there was no significant difference (fH90) compared to the clonal materials. When comparing the clonal materials (TG1 and TG3) at each planting site, they demonstrated similar mechanical properties. The variability in physical and mechanical properties among different genetic materials and planting locations highlights the need to select appropriate teak genetic materials for each region. We concluded that more productive teak clones can be selected without compromising the physical and mechanical properties of the wood. Full article
(This article belongs to the Special Issue Advances in the Study of Wood Mechanical and Physical Properties)
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23 pages, 4244 KiB  
Article
What Was George Forrest’s Plant Collection Journey like in China?
by Ke Shi, Minli Jin, Renwu Wu, Yongxi Zou, Shuai Liao, Zhoubing Xiang, Jifan Luo, Xiaoxue Zhong and Zhiyi Bao
Plants 2024, 13(10), 1367; https://doi.org/10.3390/plants13101367 (registering DOI) - 15 May 2024
Abstract
Since the 16th century, Western countries have conducted extensive plant collections in Asia, particularly in China, driven by the need to collect botanical resources and foster academic development. These activities have not only significantly enriched the Western botanical specimen collections but have also [...] Read more.
Since the 16th century, Western countries have conducted extensive plant collections in Asia, particularly in China, driven by the need to collect botanical resources and foster academic development. These activities have not only significantly enriched the Western botanical specimen collections but have also had a profound impact on the development of related disciplines such as botany, ecology, and horticulture. During this process, a large number of renowned plant hunters emerged, whose discoveries and contributions are still remembered today. George Forrest (1873–1932) was one of these distinguished plant hunters. From 1904 to 1932, he visited China seven times to collect plants and became famous for the regional distinctiveness of the species he collected. However, due to the lack of systematic collection, organization, and analysis of specimens collected by Forrest, only a few species, such as the species Rhododendron, are well-known among the many species he introduced to the West. Furthermore, the personal collecting characteristics and the characteristic species collected by Forrest are also not clear. This limits a comprehensive understanding of the specimen collection history and impact of Forrest in China. Therefore, systematic organization and analysis of Forrest’s plant specimens collected in China are crucial to understanding his impact on botanical classification, Rhododendrons introduction, global horticulture, and plant propagation. This study aims to systematically organize and analyze the plant specimens collected by George Forrest in China to investigate the family, genus, and species composition of the collected specimens and the seven collection expeditions of Forrest in China, as well as the time and altitude of these collections. Furthermore, it seeks to discuss Forrest’s scientific contributions to the global spread of plants, the widespread application of the Rhododendron, and his impact on the development of modern gardens, providing a theoretical basis and data reference for related research and professional development. To this end, we extensively consulted important historical literature related to Forrest and systematically collected data from online specimen databases. The conclusions drawn from the available data include 38,603 specimens, with 26,079 collection numbers, belonging to 233 families, 1395 genera, and 5426 species, which account for 48.24%, 32.63%, and 14.17% of the plant families, genera, and species in China, respectively. Rhododendron specimens made up 17.20% of the specimens collected in this study. The collection locations cover three provinces or autonomous regions, 11 prefecture-level cities, and 25 counties. Furthermore, we found that Forrest’s collections were concentrated in spring and summer, mainly in high-altitude areas, with 135 species found below 1500 m and 3754 species at 1500 m and above. Rhododendron specimens were mostly found above 3000 m. Full article
(This article belongs to the Special Issue Historical Ethnobotany: Interpreting the Old Records 2.0)
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7 pages, 679 KiB  
Brief Report
F10 Gene Expression and Ethnic Disparities Present in Papillary Thyroid Carcinoma
by Tyrel Porter and Lilia Kucheryavykh
J. Pers. Med. 2024, 14(5), 524; https://doi.org/10.3390/jpm14050524 (registering DOI) - 15 May 2024
Abstract
Papillary thyroid carcinoma (PTC) presents a significant health concern, particularly among Hispanic women in the United States, who exhibit a disproportionately higher chance of developing an advanced disease when compared to the non-Hispanic population. Emerging evidence suggests coagulation factor X, encoded by the [...] Read more.
Papillary thyroid carcinoma (PTC) presents a significant health concern, particularly among Hispanic women in the United States, who exhibit a disproportionately higher chance of developing an advanced disease when compared to the non-Hispanic population. Emerging evidence suggests coagulation factor X, encoded by the F10 gene, has a potential role in inhibiting cancer cell migration. However, comprehensive investigations into the differential expression patterns of F10 in Hispanic versus non-Hispanic females remain limited. RNA-sequencing data were acquired from the TCGA database for white female patients, 166 non-Hispanic and 25 Hispanic. A statistically significant (p < 0.05) 2.06-fold increase in F10 expression levels was detected in disease-free tumors compared to recurrent PTC tumors. Furthermore, an increase in F10 gene expression levels was also observed, corresponding to approximately a 1.74-fold increase in non-Hispanic patients compared to Hispanic patients. The probability of tumor recurrence was 1.82 times higher in the cohort with low expression of F10 compared to the high-expression cohort, correlating with the lower disease-free rates observed in the Hispanic patient cohort when compared to non-Hispanics. This finding underscores the relevance of ethnic disparities in molecular profiles for understanding cancer susceptibility. Identifying F10 as a potential prognostic biomarker highlights avenues for targeted interventions and contributes to improving diagnostic and treatment strategies for diverse patient populations. Full article
(This article belongs to the Section Omics/Informatics)
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12 pages, 2037 KiB  
Review
Clinical Application of Unidirectional Porous Hydroxyapatite to Bone Tumor Surgery and Other Orthopedic Surgery
by Toshiyuki Kunisada, Eiji Nakata, Tomohiro Fujiwara, Toshiaki Hata, Kohei Sato, Haruyoshi Katayama, Ayana Kondo and Toshifumi Ozaki
Biomimetics 2024, 9(5), 294; https://doi.org/10.3390/biomimetics9050294 (registering DOI) - 15 May 2024
Abstract
Unidirectional porous hydroxyapatite (UDPHAp) was developed as a remarkable scaffold characterized by a distinct structure with unidirectional pores oriented in the horizontal direction and connected through interposes. We evaluated the radiographic changes, clinical outcomes, and complications following UDPHAp implantation for the treatment of [...] Read more.
Unidirectional porous hydroxyapatite (UDPHAp) was developed as a remarkable scaffold characterized by a distinct structure with unidirectional pores oriented in the horizontal direction and connected through interposes. We evaluated the radiographic changes, clinical outcomes, and complications following UDPHAp implantation for the treatment of bone tumors. Excellent bone formation within and around the implant was observed in all patients treated with intralesional resection and UDPHAp implantation for benign bone tumors. The absorption of UDPHAp and remodeling of the bone marrow space was observed in 45% of the patients at a mean of 17 months postoperatively and was significantly more common in younger patients. Preoperative cortical thinning was completely regenerated in 84% of patients at a mean of 10 months postoperatively. No complications related to the implanted UDPHAp were observed. In a pediatric patient with bone sarcoma, when the defect after fibular resection was filled with UDPHAp implants, radiography showed complete resorption of the implant and clear formation of cortex and marrow in the resected part of the fibula. The patient could walk well without crutches and participate in sports activities. UDPHAp is a useful bone graft substitute for the treatment of benign bone tumors, and the use of this material has a low complication rate. We also review and discuss the potential of UDPHAp as a bone graft substitute in the clinical setting of orthopedic surgery. Full article
(This article belongs to the Special Issue Advances in Bioceramics for Bone Regeneration)
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